A Case of Mesentery Hernia With Intestinal Malrotation

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  • Saeda Yukiko
    Department of Pediatric Surgery, Matsudo City General Hospital
  • Mise Naoko
    Department of Pediatric Surgery, Matsudo City General Hospital
  • Harada Kazuaki
    Department of Pediatric Surgery, Matsudo City General Hospital
  • Matsuura Gen
    Department of Pediatric Surgery, Matsudo City General Hospital

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Other Title
  • 腸回転異常症を伴った内ヘルニアの1例
  • チョウ カイテン イジョウショウ オ トモナッタ ナイ ヘルニア ノ 1レイ

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Abstract

<p>A 9-month-old male patient was repeatedly hospitalized and discharged because of vomiting. In his first hospitalization, upper gastrointestinal series showed the duodenojejunal junction to be apparently in a normal position. The cause of his symptoms was unclear. In his fourth hospitalization, we were able to diagnose him as having intestinal malrotation. The operative findings were two internal hernias: a mesenteric fissure hernia at the end of the ileum and a cystic hernia formed in the mesentery close to it. Intestinal malrotation with internal hernia did not show the typical imaging findings of intestinal malrotation due to internal hernia. If a patient has symptoms similar to this case, we must keep in mind the possibility of internal hernia when carrying out imaging methods.</p>

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