食道裂孔ヘルニア(upside down stomach), 総腸間膜症および臍ヘルニアを合併した1例

• 長井 一信

  本山町立国保嶺北中央病院外科

• 浜口 潔

  本山町立国保嶺北中央病院外科

書誌事項

タイトル別名

• A CASE OF HIATAL HERNIA OF THE ESOPHAGUS (UPSIDE DOWN STOMACH) WITH MESENTERIUM COMMUNE AND UMBILICAL HERNIA

抄録

A 74-year-old woman was seen at the hospital because of appetite loss and general fatigue. Upper gastrointestinal series revealed that the stomach covering almost whole length was axially twisted and protruded into the mediastinum. CT and Magnetic resonace imaging (MRI) revealed prolapsing small intestine and transverse colon into the mediastinum and cholelithiasis as well Barium enema study visualized abnormal movable ascending and descending colon. With a diagnosis of upside down stomach, mesenterium commune, umbilical hernia and cholelithiasis, the patient was operated on. Operative procedure included Nisseen fun-doplication+pyloroplasty, appendectomy, repair of umbilical hernia, and cholecystectoy.<br> In this country, upside down stomach is so rare that 10 cases including our cases have been reported so far, and all cases exepting our case were not associated with mesenterium commune and umbilical hernia. It is inferred that there must be congenital problem such as poor coaptation or elasticity of the connective tissue in this case.

収録刊行物

• 日本臨床外科学会雑誌

  日本臨床外科学会雑誌 60 (9), 2507-2511, 1999

  日本臨床外科学会

キーワード

• 総腸管膜症
• 臍ヘルニア

詳細情報

• CRID: 1390282679828230272
• NII論文ID: 130003601539
• NII論文ID: 10008497284
• NII書誌ID: AA11189709
• DOI: 10.3919/jjsa.60.2507
• ISSN: 18825133
• ISSN: 13452843
• Web Site: http://www.jstage.jst.go.jp/article/ringe1998/60/9/60_9_2507/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2000058355
• データソース種別:
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  • Crossref
  • CiNii Articles
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