高齢者に発症した横行結腸間膜裂孔ヘルニアの２例

DOI 被引用文献12件 参考文献18件

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  • Two Cases of Transmesenteric Hiatus Hernia in Elderly Patients

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We report two cases of mesenteric hiatus hernia. Casel: A 79-year-old woman was admitted to our hospital because of abdominal pain after about a month's hospital stay for the treatment of a right femoral neck fracture. She had undergone an appendectomy when she was thirty years old. Under a diagnosis of adhesion ileus, an emergency operation was carried out. An oval defect about 8cm in diameter was present in the mesentery of the transverse colon. The small intestine was invaginated through the defect. Case 2: A 77-year-old man consulted our department complaining of abdominal distension and vomiting. Under a diagnosis of internal hernia, an emergency operation was carried out. A small defect was found in the mesentery of the transverse colon. A short segment of the small intestine located 40cm from the ileocecal valve was invaginated through the defect. In both cases, the small intestine was returned to its normal position and the defect was closed by suturing. The postoperative courses of the two cases were uneventful. The possibility of internal hernia, including mesenteric hiatus hernia, must be carefully considered in elderly patients with intermittent abdominal discomfort of unknown origin.

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