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A case of internal hernia caused by external iliac artery after pelvic lymphadenectomy Megumi Kawaguchi 1 1Division of Radiology, Department of Multidisciplinary Internal Medicine Tottori University Keyword: 骨盤内リンパ節郭清 , 内ヘルニア , 絞扼性腸閉塞 pp.255-258
Published Date 2024/3/10
DOI https://doi.org/10.18888/rp.0000002651
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The patient was a 60s woman with a history of pelvic lymphadenectomy(PLND), who presented with severe abdominal pain. An internal hernia between the right external iliac artery and pelvic wall, leading to strangulated bowel obstruction, was observed on unenhanced CT. Intraoperative findings revealed that the small bowel had herniated into the space between the external iliac artery and iliopsoas muscle after PLND. Internal hernia due to exposed vessels is a rare cause of intestinal obstruction after PLND. It is important to diagnose the internal hernia caused by exposed vessels on imaging, to prevent surgical resection by misidentifying them as fibrous cords.


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電子版ISSN 印刷版ISSN 0009-9252 金原出版

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