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A case of intramesosigmoid hernia treated with laparoscopic surgery Hiroki HARADA 1 , Wataru ONOZATO 1 , Akira EMA 1 , Hidehumi KUBO 1 , Yoshihito TAKAHASHI 1 , Masahiko WATANABE 2 1Department of Surgery, Kitasato University Medical Center 2Department of Surgery, Kitasato University Keyword: S状結腸間膜ヘルニア , 腹腔鏡下手術 , 内ヘルニア pp.599-604
Published Date 2016/9/15
DOI https://doi.org/10.11477/mf.4426200309
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 A 50-year-old woman was admitted with abdominal pain and vomiting; she had no history of abdominal surgery or injury. An abdominal X-ray examination showed multiple niveaus of the small bowel. Abdominal computed tomography revealed a caliber difference in the intestinal tract at the level of the common iliac artery. The symptoms were very mild and a conservative therapy using an ileus tube was performed; however, no symptomatic remission was achieved. Laparoscopic surgery was performed 3 days after admission. Upon laparotomy, it was observed that the ileum was incarcerated through a hole in the left lobe of the sigmoid mesentery. Consequently, the patient underwent a surgical procedure and was diagnosed with an intramesosigmoid hernia. After the incarcerated ileum was reduced, the hernia orifice was sutured and closed. The patient made a satisfactory recovery and was discharged 8 days after operation.


Copyright © 2016, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.

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電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

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