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ID 48581
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Title Alternative
A case of strangulated ileus caused by transomental hernia with reference to previously reported cases
Author
Kimura, Yuji
Iwakawa, Kazuhide
Nishie, Manabu
Inagaki, Masaru
Iwagaki, Hiromi
Abstract
Transomental hernia often develops into strangulated ileus. We report on an 81-year-old man with strangulated ileus due to transomental hernia, diagnosed preoperatively by abdominal CT. The patient was referred to our surgical division because of progressive abdominal pain and vomiting. He had no history of laparotomy. An abdominal CT scan showed dilated small intestinal loops with intraluminal air and strangulated small intestinal loops with engorged mesenteric vessels. We diagnosed this as a strangulated internal hernia due to transomental hernia and conducted an emergency laparotomy. The jejunum had herniated through an abnormal hiatus of the greater omentum to the peritoneal cavity. The strangulated intestinal loop, about 15 cm long, was released and the postoperative course was uneventful. In the absence of a previous laparotomy, the differential diagnosis of intestinal obstruction should include internal hernia. An abdominal CT scan is useful for the preoperative and prompt diagnosis of transomental hernia.
Keywords
大網裂孔ヘルニア(transomental hernia)
絞扼性イレウス(strangulated ileus)
Note
症例報告(Case Report)
Published Date
2012-08-01
Publication Title
岡山医学会雑誌
Publication Title Alternative
Journal of Okayama Medical Association
Volume
volume124
Issue
issue2
Publisher
岡山医学会
Publisher Alternative
Okayama Medical Association
Start Page
149
End Page
153
ISSN
0030-1558
NCID
AN00032489
Content Type
Journal Article
Related Url
http://www.okayama-u.ac.jp/user/oma/
language
日本語
Copyright Holders
Copyright (c) 2012 岡山医学会
File Version
publisher
Refereed
True
DOI
Eprints Journal Name
joma