| Item type |
紀要論文 / Departmental Bulletin Paper(1) |
| 公開日 |
2019-08-13 |
| タイトル |
|
|
タイトル |
Strangulated obstruction caused by a transomental hernia |
|
言語 |
en |
| その他（別言語等）のタイトル |
|
|
その他のタイトル |
大網裂孔ヘルニアによる絞扼性イレウスの１例 |
|
言語 |
ja |
| 言語 |
|
|
言語 |
eng |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
transomental hernia |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
strangulated obstruction |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
internal hernia |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
departmental bulletin paper |
| 著者 |
Fumihiro , Chiba
Nobuyuki , Toyama
Hiroshi , Noda
Fumio , Konishi
|
| 著者別名 |
|
|
|
姓名 |
千葉, 文博 |
|
|
言語 |
ja |
| 著者別名 |
|
|
|
姓名 |
遠山, 信幸 |
|
|
言語 |
ja |
| 著者別名 |
|
|
|
姓名 |
野田, 弘志 |
|
|
言語 |
ja |
| 著者別名 |
|
|
|
姓名 |
小西, 文雄 |
|
|
言語 |
ja |
| 抄録 |
|
|
内容記述タイプ |
Abstract |
|
内容記述 |
We herein report a rare case of a strangulated obstruction of the small intestine caused by a transomental hernia. A 66-year-old male was brought from another hospital by ambulance due to strangulated small bowel obstruction. He had no history of surgery. He had an acute onset of abdominal pain with nausea, vomiting and abdominal distension. Other symptoms were tachycardia, low blood pressure, abdominal tenderness in physical examinations, inflammatory changes, and metabolic acidosis in the blood analysis. Abdominal computed tomography showed a marked dilatation of the small intestine, which was poorly enhanced with massive ascites. In addition, no mesenteric vascular occlusion but the radial distribution of the mesentery anterior to the transverse colon was observed. A diagnosis of strangulated obstruction was made, and emergency surgery was performed. Intraoperatively, massive bloody ascites were observed and the small intestine was incarcerated through a hiatus of the greater omentum with necrosis. We performed an open incision of the hiatus to release the incarceration and then resected the necrotic portion. The postoperative course was favorable and the patient was discharged on hospital day 10. This case emphasizes the importance of internal hernias, including considering a transomental hernia as a potential cause of an interstinal obstruction in patients without a history of surgery. |
| 書誌情報 |
自治医科大学紀要
en : Jichi Medical University Journal
巻 30,
p. 139-145,
発行日 2008-12
|
| 出版者 |
|
|
出版者 |
自治医科大学 |
| ISSN |
|
|
収録物識別子タイプ |
PISSN |
|
収録物識別子 |
1881-252X |
自治医科大学紀要1881-252X(30)p139-145 (2.0 MB)
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