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Title Alternative
A case of strangulated ileus caused by internal hernia through a defect in the broad ligament of the uterus
Author
Haisa, Minoru
Sakai, Ryo
Kurihara, Eisuke
Teramoto, Atsushi
Shouga, Kazuhiko
Mitsuoka, Shintarou
Nishimura, Mamoru
Satou, Yuuki
Nanba, Jiro
Abstract
A 41-year-old woman was admitted to our hospital because of lower abdominal pain. She had no history of laparotomy. An abdominal CT scan at the time of admission indicated closed-loop intestinal obstruction of the small intestine within the pelvis and deviation of the uterus to the right. We diagnosed this as a strangulated internal hernia and decided to conduct an emergency operation. The ileum had herniated through a defect in the broad ligament of the uterus. The strangulated intestinal loop, which was about 25cm long, was released, and the defect of the broad ligament was closed. The postoperative course was uneventful. The differential diagnosis of intestinal obstruction should include internal hernia, especially in the absence of a previous laparotomy. An abdominal CT scan is quite useful for the preoperative and prompt diagnosis of internal hernia through a defect in the broad ligament of the uterus.
Keywords
子宮広間膜裂孔(broad ligament)
内ヘルニア(internal hernia)
絞扼性イレウス(strangulated ileus)
MDCT(multi-detector CT)
Note
症例報告 (Case Report)
Published Date
2013-08-01
Publication Title
岡山医学会雑誌
Publication Title Alternative
Journal of Okayama Medical Association
Volume
volume125
Issue
issue2
Publisher
岡山医学会
Publisher Alternative
Okayama Medical Association
Start Page
139
End Page
143
ISSN
0030-1558
NCID
AN00032489
Content Type
Journal Article
Related Url
http://www.okayama-u.ac.jp/user/oma/
References
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language
日本語
OAI-PMH Set
岡山大学
Copyright Holders
Copyright (c) 2013 岡山医学会
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Refereed
True
DOI
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8
Eprints Journal Name
joma