A case of situs inversus totalis with internal hernia due to persistent descending mesocolon Gen TSUJIO 1 , Tatsunari FUKUOKA 1 , Hisashi NAGAHARA 1 , Masatsune SHIBUTANI 1 , Yasuhito ISEKI 1 , Masaichi OHIRA 1 1Department of Gastrointestinal Surgery, Osaka City University Graduate School of Medicine Keyword: persistent descending mesocolon , 完全内臓逆位 , 内ヘルニア pp.340-344
Published Date 2019/7/15
DOI https://doi.org/10.11477/mf.4426200720
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 A 65-year-old man, who was diagnosed as situs inversus totalis, presented to our department because of abdominal distension and right lower abdominal pain. Abdominal CT scan revealed stenosis of ileum in the vicinity of ileocecum and oral-side intestinal dilatation. We made a diagnosis of intestinal obstruction but conservative treatment by long intestinal tube could not improve the symptoms, therefore, we planned laparoscopic operation. We found the descending colon was not fused with the retroperitoneum and diagnosed as persistent descending mesocolon. Adhesion between the sigmoid colon mesentery and the ileal mesentery in the vicinity of the ileocecum was revealed and a segment of ileum had herniated into the space formed by adhesion. We pulled back the ileum and released the adhesion. He is currently doing well without recurrence.

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