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A case report of internal hernia in paracolic gutter of the ascending colon Shota EBINUMA 1 , Kengo SHIBATA 1 , Nobuhiro KOBAYASHI 2 , Yasunobu TERASAKI 1 1Department of Surgery, Wakkanai City Hospital 2Department of Gastroenterological Surgery I, Hokkaido University Hospital Keyword: 傍上行結腸窩ヘルニア , 腸閉塞 , 腹腔鏡手術 pp.10-14
Published Date 2023/1/15
DOI https://doi.org/10.11477/mf.4426201022
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 A 74-year-old woman with the history of appendectomy presented to our emergency department because of constipation and abdominal distension. Enhanced computed tomography revealed small bowel obstruction with caliber change. We diagnosed adhesive ileus and began conservative management. However, in 3rd day of hospitalization, we performed test laparoscopy because of a deterioration of her symptoms. We found a hernial hilus at lateral of the ascending colon and small intestine was incarcerated. We finally diagnosed small bowel obstruction with internal hernia in paracolic gutter of the ascending colon. We reduced the intestine to the abdominal cavity and opened the hernia sac. The postoperative course was uneventful. A case of internal hernia in paracolic gutter of ascending colon is rare, so we report pathology and treatment of it with a review of the literature.


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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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