小腸イレウスを呈した子宮広間膜ヘルニアの1例  [in Japanese] A case report of internal hernia through an abnormal defect in the broad ligament of the uterus  [in Japanese]

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Author(s)

    • 谷岡 ゆかり TANIOKA Yukari
    • 社会保険下関厚生病院消化器内科 Department of Gastroenterology and Hepatology, Social Insurance Shimonoseki Kohsei Hospital
    • 平野 厚宜 HIRANO Atsuyoshi
    • 社会保険下関厚生病院消化器内科 Department of Gastroenterology and Hepatology, Social Insurance Shimonoseki Kohsei Hospital
    • 沖田 幸祐 OKITA Kohsuke
    • 社会保険下関厚生病院消化器内科 Department of Gastroenterology and Hepatology, Social Insurance Shimonoseki Kohsei Hospital
    • 木村 輝昭 KIMURA Teruaki
    • 社会保険下関厚生病院消化器内科 Department of Gastroenterology and Hepatology, Social Insurance Shimonoseki Kohsei Hospital
    • 加藤 彰 KATO Akira
    • 社会保険下関厚生病院消化器内科 Department of Gastroenterology and Hepatology, Social Insurance Shimonoseki Kohsei Hospital
    • 小野 恭平 ONO Kyouhei
    • 社会保険下関厚生病院消化器内科 Department of Gastroenterology and Hepatology, Social Insurance Shimonoseki Kohsei Hospital
    • 沖田 極 OKITA Kiwamu
    • 社会保険下関厚生病院消化器内科 Department of Gastroenterology and Hepatology, Social Insurance Shimonoseki Kohsei Hospital

Abstract

イレウスの原因として内ヘルニアは比較的まれであるが,子宮広間膜ヘルニアは,内ヘルニアの4~5%とされ極めてまれである.われわれは,異常裂孔に腸管が嵌頓し,イレウスとなった1例を経験したので報告する.症例は49歳女性で,腹痛と嘔吐を主訴に入院した.第4病日の腹部単純X線検査で鏡面像を認めた.イレウス管造影にて骨盤腔内左側よりに造影剤の停滞を認めた.同日の緊急手術で,左子宮広間膜ヘルニアと診断された.<br>

We report a rare case of internal hernia through an abnormal defect in the broad ligament of the uterus. A 49-year-old woman, without any previous surgery, was admitted because of vomiting and lower abdominal pain. Three days after admission a small amount of small intestinal gas was pointed out on her plain abdominal X-ray film. An enema examination by ileus tube revealed a pooling of gastrografin on the left side of the pelvic cavity, showing an obstruction of the ileum. Therefore, an emergency operation was performed, whereupon we found an abnormal defect in the left broad ligament of the uterus. This case describes an internal hernia through an abnormal defect in a female ileus patient without a history of surgery.<br>

Journal

  • Nippon Shokakibyo Gakkai Zasshi

    Nippon Shokakibyo Gakkai Zasshi 107(4), 620-624, 2010-04-05

    The Japanese Society of Gastroenterology

References:  8

Cited by:  2

Codes

  • NII Article ID (NAID)
    10026417192
  • NII NACSIS-CAT ID (NCID)
    AN00192124
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • ISSN
    04466586
  • Data Source
    CJP  CJPref  J-STAGE 
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