Case of Small Bowel Obstruction Caused by Epiploic Appendix of the Sigmoid Colon Treated by Single-Incision Laparoscopic Surgery

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  • 単孔式腹腔鏡下手術にて治療したS状結腸腹膜垂による腸閉塞の1例
  • 症例 単孔式腹腔鏡下手術にて治療したS状結腸腹膜垂による腸閉塞の1例
  • ショウレイ タンコウシキ フククウキョウ シタテジュツ ニテ チリョウ シタ Sジョウ ケッチョウ フクマクスイ ニ ヨル チョウ ヘイソク ノ 1レイ

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Abstract

An 83-year-old woman was admitted to the hospital with vomiting and abdominal pain. Abdominal CT revealed obstruction of the ileum and a dilated jejunum, with ascites. No apparent evidence of small bowel ischemia was detected. Despite the placement of a long gastrointestinal tube for 11 days, no improvement was noted. Therefore, laparoscopic surgery was performed under the diagnosis of strangulated ileus. Adhesion of epiploic appendix of the sigmoid colon was found to be the cause of the ileus. After dissection of the adhesion, the strangulated ileal loops were found to be viable and therefore left unresected. The postoperative period was uneventful and the patient was discharged without any complications on the 11th postoperative day. No recurrence has been observed during the one-year follow-up since.

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