大網裂孔ヘルニアの1例  [in Japanese] A CASE OF TRANSOMENTAL HERNIA  [in Japanese]

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Abstract

大網裂孔ヘルニアの1例を経験した.症例は13歳,男性で過食後より出現した心窩部痛のため入院した.腹部CT検査では胃上部腹側に拡張小腸が存在し,小腸造影では上部空腸の狭窄像を認めた.内ヘルニアによるイレウスと診断し開腹術を施行した.術中所見では胃結腸間膜の異常裂孔から嵌入した小腸が,短縮した網嚢を通り腹腔に脱出する大網裂孔ヘルニアを認めた.手術では腸切除の必要はなく,嵌入小腸を整復し異常裂孔を閉鎖した.本症例は適切な手術時期の決定により腸切除を回避しえたと考えられた.

We report a case of transomental hernia. A 13-year-old boy admitted for epigastric pain after overeating underwent abdominal CT, which showed the small intestine dilated at the anterior superior space of the stomach, and stricture of upper jejunum was observed in enterography. We conducted a laparotomy for a diagnosis of ileus due to internal hernia. At surgery, the small intestine was found to have herniated into the abnormal hiatus of the gastrocolic ligament, prolapsed through the reduced space of the lesser peritoneal sac, and returned to the peritoneal cavity. The incarcerated intestine was released without resection, and the abnormal hiatus was closed. We were able to preserve the incarcerated intestine due to the suitable decision of laparotomy.

Journal

  • Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)

    Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 63(1), 207-209, 2002-01-25

    Japan Surgical Association

References:  5

Cited by:  1

Codes

  • NII Article ID (NAID)
    10008393184
  • NII NACSIS-CAT ID (NCID)
    AA11189709
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • ISSN
    13452843
  • Data Source
    CJP  CJPref  J-STAGE 
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