間膜軸性胃軸捻転症を伴った成人食道裂孔ヘルニアの1例  [in Japanese] ADULT HIATAL HERNIA OF THE ESOPHAGUS WITH GASTRIC VOLVULUS IN A MESENTEROAXIAL FORM : REPORT OF A CASE  [in Japanese]

Access this Article

Search this Article

Author(s)

Abstract

症例は66歳男性,反復する嘔吐・心窩部痛等の上腹部症状を認めたため入院した.上部消化管造影等の検査より間膜軸性胃軸捻転症を伴った傍食道裂孔ヘルニアと診断した.手術時,十二指腸の後腹膜への固定が弛緩していたため,小網が先進部になり胃前庭部および十二指腸球部が網隔内に脱出し間膜軸性胃軸捻転症を来たしていたことが確認された.ヘルニア嚢還納・切除後,テフロンパッチを用いて食道裂孔を縫縮した.<br> 本邦では胃軸捻転症を伴った成人食道裂孔ヘルニアの報告例は比較的少数である.間膜軸性胃軸捻転症を伴った成人食道裂孔ヘルニアの1例を経験したので文献的考察を加えて報告する.

A 66-year-old man was admitted to the hospital because of upper abdominal symptoms including recurrent vomiting and epigastric pain. Upper gastrointestinal series indicated that the patient had a paraesophageal hiatal hernia with gastric volvulus in a mesenteroaxial form. Laparotomy was carried out, and we confirmed that, since the fixation of the duodenum to the retroperitoneum was loosened, the pyloric antrum and duodenal bulb headed by the lesser omentum were prolapsed into the mediastinum, causing gastric volvulus in a mesenteroaxial form. After the hernia was relieved and excised, the paraesophageal hiatal hernia was closed by plication suture using a Teflon patch.<br> In this country a relatively few cases of adult hiatal hernia of the esophagus associating with gastric volvulus have been reported so far. This paper presents our recent experience with an adult case of esophageal hiatal hernia with gastric volvulus in a meseteroaxial form, with a review of the literature.

Journal

  • The journal of the Japanese Practical Surgeon Society

    The journal of the Japanese Practical Surgeon Society 57(10), 2445-2448, 1996-10-25

    Japan Surgical Association

References:  15

Cited by:  9

Codes

  • NII Article ID (NAID)
    10008524830
  • NII NACSIS-CAT ID (NCID)
    AN00198696
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • ISSN
    03869776
  • Data Source
    CJP  CJPref  J-STAGE 
Page Top