A Case of Internal Hernia of the Mesentery of the Sigmoid Colon Presented with Ileus.

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  • イレウスにて発症したＳ状結腸間膜内ヘルニアの１例

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Abstract

A 62-year-old man was transferred to the hospital with a diagnosis of ileus without previous history of laparotomy. Abdominal x-ray examination revealed air-fluid level formation. Intussusception of the small intestine was suspected on an abdominal CT scan. A fluoroscopic study after an ileus tube was indwelt revealed no causes and no remission of ileus was obtained. So the patient was operated on. During surgery, an ileum about 70cm to the terrninal ileum was impacted in the left lobe of the sigmoid mesentery with a change in color. The impacted intestine was resected.<br> Internal hernia of the sigmoid mesentery is rare among all internal hernias, especially that in the left lobe. This case is the second report of the disease involving the left lobe. In the treatment of ileus without previous history of undergoing a laparotomy, this disease must be kept in mind as a probable diagnosis.

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