A CASE OF TRANSEPIPLOIC HERNIA
| Autor: | Koji Mizuta, Hachiro Hirayama, Masae Mano, Kazuhiro Tashiro, Heita Koga |
|---|---|
| Rok vydání: | 1993 |
| Předmět: |
Internal hernia
medicine.medical_specialty Upper gastrointestinal series Ileus business.industry medicine.medical_treatment Ileum Anastomosis medicine.disease Gastroenterology digestive system diseases Surgery medicine.anatomical_structure Internal medicine Laparotomy medicine Abdomen Hernia business |
| Zdroj: | The journal of the Japanese Practical Surgeon Society. 54:776-782 |
| ISSN: | 0386-9776 |
| Popis: | A case of transepiploic hernia, a very rare type of internal hernia, is described with a review of the literature. A 59-year-old man was seen at the hospital because of epigastric pain and nausea, and was admitted for close examination. After upper gastrointestinal series was taken, a plain X-ray film of the abdomen showed a fluid level in the dilated intestinal loop. Ultrasonic study demonstrated both the dilated intestinal loop and some amount of ascites. A diagnosis of intestinal obstruction was made and a laparotomy was performed. Laparotomy findings included increased ascites, presence of a hiatus about 5cm in diameter in the omentum, through which a portion of the small intestine by about 30cm prolapsed and was strangulated. As vascular disturbance of the strangulated intestine was speculates moderate, closure of the hiatus was performed. Liquid diet was started around 10th day after the operation, but ileus symptoms occurred again. Ileus tube was inserted. G.I. series revealed a disappearance of Kerckring's folds and dilated small intestine, and hence, excision of the ileum by about 35cm with end-to-end anastomosis, ileum to ileum, was carried out. In the Japanese literature, 18 cases of omental hernia (type A) have been reported sofar, and one further case is considered worthy of report. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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