書誌事項
- タイトル別名
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- A case of strangulated ileus caused by internal hernia through a defect in the broad ligament of the uterus
- 症例報告 子宮広間膜裂孔ヘルニアによる絞扼性イレウスの1例
- ショウレイ ホウコク シキュウ ヒロママクレツコウ ヘルニア ニ ヨル コウヤクセイ イレウス ノ 1レイ
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A 41-year-old woman was admitted to our hospital because of lower abdominal pain. She had no history of laparotomy. An abdominal CT scan at the time of admission indicated closed-loop intestinal obstruction of the small intestine within the pelvis and deviation of the uterus to the right. We diagnosed this as a strangulated internal hernia and decided to conduct an emergency operation. The ileum had herniated through a defect in the broad ligament of the uterus. The strangulated intestinal loop, which was about 25cm long, was released, and the defect of the broad ligament was closed. The postoperative course was uneventful. The differential diagnosis of intestinal obstruction should include internal hernia, especially in the absence of a previous laparotomy. An abdominal CT scan is quite useful for the preoperative and prompt diagnosis of internal hernia through a defect in the broad ligament of the uterus.
収録刊行物
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- 岡山医学会雑誌
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岡山医学会雑誌 125 (2), 139-143, 2013
岡山医学会
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詳細情報 詳細情報について
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- CRID
- 1390001204875765504
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- NII論文ID
- 120005317251
- 130004505778
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- NII書誌ID
- AN00032489
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- ISSN
- 18824528
- 00301558
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- NDL書誌ID
- 024827117
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
- IRDB
- NDL
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- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可