A Case of Internal Hernia Through a Defect of the Falciform Ligament

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  • 肝鎌状間膜裂孔ヘルニアの１例

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A 81-year-old man with no history of abdominal surgery admitted for abdominal pain and vomiting was found in abdominal X-ray to have several air-fluid levels in the upper abdomen. Abdominal computed tomography (CT) showed a dilated small intestine, but no findings of strangulation obstruction. Two stenotic sites in the small intestine were detected by long-tube enterography, and the same findings were obtained in this study. Based on a suspected internal hernia, we conducted surgery, establishing a diagnosis of bowel obstruction due to an internal hernia through a defect of the falciform ligament. The strangulated intestinal loop was released and recovered. The postoperative course was uneventful, and the man was discharged 10 days after surgery. Internal hernia through a defect of the falciform ligament is very rare, with our case being only the eighth reported in the Japanese literature.

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