JOURNAL OF JAPAN SOCIETY FOR ENDOSCOPIC SURGERY Volume 24, Issue 2 (March 2019)
Japanese

A case of transmesocolic hernia of transverse colon diagnosed and treated laparoscopically Naomi KAWATA 1 , Yosuke KIRIYAMA 1 , Munefumi TOMOMATSU 1 , Shuta TAMURA 1 , Yasushi KAGAJO 1 , Shigeru YUNOKI 1 1Department of Surgery, Matsuyama Shimin Hospital Keyword: 横行結腸間膜裂孔ヘルニア , 腹腔鏡下手術 , 内ヘルニア pp.134-139
Published Date 2019/3/15
DOI https://doi.org/10.11477/mf.4426200682
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 A 90-year-old female who had been admitted at our hospital for the treatment of ischemic colitis complained of bilious vomiting. The patient had past medical history of appendectomy, hypertension, diabetes mellitus and cholelithiasis. An abdominal computed tomography revealed a closed loop of the small intestine. She was diagnosed with intestinal strangulation and was referred to the department of surgery. Emergency laparoscopic surgery was performed. After laparoscopic division of the peritoneal adhesions, a defect measuring approximately 3cm in diameter was found in the transverse mesocolon. Part of the jejunum had incarcerated into the defect. The herniated bowel loop was reduced by traction with forceps and no necrosis was observed. Therefore, the hernial orifice was closed by running suture without jejunal resection. Post-operative course was uneventful and she was discharged on day 10 after the operation. Transmesocolic hernia of the transverse colon is very rare in internal hernias and laparoscopic surgery is useful if diagnosed early.


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基本情報

13446703.24.2.jpg
日本内視鏡外科学会雑誌
24巻2号 (2019年3月)
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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