INTERNAL HERNIA DURING PREGNANCY DUE TO ANOMALOUS OPENING IN THE FALCIFORM LIGAMENT

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  • 妊娠末期に認められた肝鎌状間膜異常裂孔による内ヘルニアの1例

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Intestinal obstruction is a rare complication during pregnancy, and almost all causes are considered to be secondary adhesions in a patient with a surgical history. During pregnancy, there have been only a few reported cases of internal hernia. An internal hernia is formed by the protrusion of a viscus through a peritoneal fossae or anomalous opening in the mesentery leading to its encapsulation within a compartment of the abdominal cavity. The difficulty of diagnosis of the disease associated with pregnancy which limits diagnostic investigation also brings a dangerous combination of bowel obstruction.<br> We present a case of internal hernia caused by anomalous opening in the falciform ligament in a pregnant woman of the 37th week of gestation. She underwent a cesarean section, followed by lapalotomy which revealed intestinal obstruction through the opening in the ligament falciform. The ligament was divided and 40cm of the small intestine was resected.<br> In patients with symptoms suggestive of bowel obstruction during pregnancy, internal hernia must be included in the probable differential diagnoses.

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