術後腸重積を起こした,小腸間膜裂孔ヘルニアの1例

DOI Web Site 被引用文献2件 参考文献14件

書誌事項

タイトル別名
  • A CASE OF TRANSMESENTERIC HERNIA ASSOCIATED WITH POSTOPERATIVE SMALL-BOWEL INSSUSCEPTION

この論文をさがす

抄録

Transmesenteric hernia is a relatively rare entiry and nearly 130 cases have been reported in Japan so far.<br> We describe a case of transmesenteric hernia with postoperative intussusception. A 14-year-old boy was admitted to the hospital because of epigastralgia lasting for one day, followed by vomiting and abdominal pain at the periumbilical region on the next day. He had no previous history of abdominal operation. In the next morning after admission, he had severe abdominal muscle guarding, then underwent an emergency surgery. A defect of mesoileum with the size of 4cm in diameter was found at the 80cm from the end of ileum, and the ileum about 70cm in length from the end of ileum had protruded through the defect. The herniated intestine was pulled out, and the defect was closed. This ileum was not excised because of no gangrenous lesion in the affected intestine. The abdominal distention was observed 10days after the operation. An abdominal radiogram showed niveau sign of the small intestine, and antegrade small bowel series with contrast medium (Gastrographin®) through a nasointestinal tube showed the coil spring sign. Under the diagnosis of postoperative small-bowel intussusception, the patient was reoperated on. The intestines adhered to the peritoneal wound and mildly distended, but the appearance of the intestine was almost normal. The intussusception of the intestine was easily repaired by Hutchinson maneuver. The second postoperative course was uneventful.<br> A transmesenteric hernia is rare, however, we should take notice it when we encounter the mechanical bowel obstruction.

収録刊行物

被引用文献 (2)*注記

もっと見る

参考文献 (14)*注記

もっと見る

キーワード

詳細情報 詳細情報について

問題の指摘

ページトップへ