A Case of Transverse Mesocolon Hernia

We report a case of small-bowel obstruction due to transverse mesocolon hernia. An 84-year-old woman seen for abdominal pain and vomiting was found to have periumbilical tenderness without guarding or rebound. Computed Tomography (CT) showed small-bowel distension, but not the focus of obstruction....

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Published inThe Japanese Journal of Gastroenterological Surgery Vol. 43; no. 11; pp. 1189 - 1193
Main Authors Okada, Naoya, Suzuki, On, Hashimoto, Youhei, Noji, Takehiro, Nakamura, Toru, Ambo, Yoshiyasu, Nakamura, Humitaka, Kashimura, Nobuichi
Format Journal Article
LanguageJapanese
Published The Japanese Society of Gastroenterological Surgery 01.11.2010
Subjects
internal hernia
transverse mesocolon
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Abstract We report a case of small-bowel obstruction due to transverse mesocolon hernia. An 84-year-old woman seen for abdominal pain and vomiting was found to have periumbilical tenderness without guarding or rebound. Computed Tomography (CT) showed small-bowel distension, but not the focus of obstruction. The day following admission, tenderness became severe and rebound pain prompted emergency diagnostic laparoscopy for suspected incarcerated bowel. Intraoperatively, a hernia orifice 3 cm in diameter was found in the transverse mesocolon and small intestine adhering to the mesocolon 20 cm from this orifice. The hernia orifice was sutured closed and the strangulated intestine, which had no necrosis, needed no resection. Postoperative recovery was uncomplicated and the woman was discharged in good condition on postoperative day 8.
AbstractList We report a case of small-bowel obstruction due to transverse mesocolon hernia. An 84-year-old woman seen for abdominal pain and vomiting was found to have periumbilical tenderness without guarding or rebound. Computed Tomography (CT) showed small-bowel distension, but not the focus of obstruction. The day following admission, tenderness became severe and rebound pain prompted emergency diagnostic laparoscopy for suspected incarcerated bowel. Intraoperatively, a hernia orifice 3 cm in diameter was found in the transverse mesocolon and small intestine adhering to the mesocolon 20 cm from this orifice. The hernia orifice was sutured closed and the strangulated intestine, which had no necrosis, needed no resection. Postoperative recovery was uncomplicated and the woman was discharged in good condition on postoperative day 8.
Author Kashimura, Nobuichi
Hashimoto, Youhei
Nakamura, Humitaka
Ambo, Yoshiyasu
Noji, Takehiro
Nakamura, Toru
Okada, Naoya
Suzuki, On
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  fullname: Ambo, Yoshiyasu
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  fullname: Nakamura, Humitaka
  organization: Department of Surgery, Teine Keijinkai Hospital
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  fullname: Kashimura, Nobuichi
  organization: Department of Surgery, Teine Keijinkai Hospital
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References 7) 藤井　努, 末永裕之, 桐山幸三ほか: 網嚢内へ大量小腸の嵌入を認めた横行結腸間膜裂孔ヘルニアの1例. 日臨外会誌　60: 3011-3014, 1999
5) Steinke CR: Internal hernia. Arch Surg 25: 909-925, 1932
20) 谷　直樹, 山根哲郎, 伊藤忠雄ほか: 横行結腸間膜裂孔ヘルニアの1治験例. 松仁会医学誌　42: 145-148, 2003
4) 福本将人, 加藤秀明, 新谷佳子ほか: 横行結腸間膜裂孔ヘルニアの1例. 日臨外会誌　70: 2876-2880, 2009
6) 大下裕夫, 田中千凱, 種村廣巳: 胃切除術後に発生した横行結腸間膜ヘルニアの1例. 日腹部救急医会誌　15: 1125-1127, 1995
19) 吹野信忠, 川崎篤史, 三松謙司ほか: 横行結腸間膜裂孔ヘルニアの1例. 日大医誌　67: 182-185, 2008
15) 呉山泰進, 片岡　誠, 桑原義之ほか: 悪性リンパ腫の化学療法中に大量下血をきたした横行結腸間膜窩ヘルニアの1例. 外科　55: 1025-1028, 1993
23) 熊澤伊和生, 土屋十次, 浅野雅嘉ほか: MDCTにて内ヘルニアの術前診断が可能であった横行結腸間膜ヘルニアの1例. 日消外会誌　38: 1135, 2005（会議録）
2) 高橋英世, 永井米次郎: 内ヘルニアによるイレウス. 小児外科　12: 447-453, 1980
11) 本郷久美子, 川口米栄, 久保田芳郎: 横行結腸間膜裂孔ヘルニアによる絞扼性イレウスの1例. 日臨外会誌　69: 2408-2412, 2008
1) 天野純治: 内ヘルニア. ヘルニアのすべて. へるす出版, 東京, 1995, p246-263
16) 山田太郎, 岡本育夫, 幸島孝志: アミラーゼ上昇を伴い腹痛で発症した大網, 腸間膜ヘルニアの1例. 埼玉県医会誌　31: 930-932, 1997
9) 田中弘之, 臼間康博, 中川　昇ほか: 横行結腸間膜裂孔ヘルニアの1例. 手術　56: 127-131, 2002
17) 工藤大輔, 鈴木伸作, 神　寛之ほか: 横行結腸間膜裂孔ヘルニアの1例. 日臨外会誌　69: 3281-3284, 2008
26) 福田直人, 館花明彦, 酒井　滋ほか: 術前診断困難な急性腹症に対する腹腔鏡の有効性. 日腹部救急医会誌　21: 549-553, 2001
3) 角内栄二, 鈴木　聡, 三科　武ほか: 横行結腸間膜ヘルニアの1例. 日消外会誌　37: 1491-1496, 2004
25) 道免寛充, 松本　譲, 児嶋哲文ほか: 腹腔鏡下に診断し整復しえた大網裂孔ヘルニア嵌頓の1例. 日消外会誌　39: 363-366, 2006
22) 佐藤　功, 藤村昌樹, 熊野公束ほか: 術前疑診され腹腔鏡下に確認, 修復術が可能であった横行結腸間膜裂孔ヘルニアの1治験例. 日内視外会誌　12: 383, 2007（会議録）
21) 池嶋　聡, 倉本正文, 生田義明ほか: 横行結腸間膜裂孔ヘルニアの1例. 日消外会誌　41: 570-574, 2008
13) 竹内　聖, 柏木裕貴, 近藤昭宏ほか: 横行結腸間膜ヘルニアの1例. 日臨外会誌　68: 692-696, 2007
12) 小舘満太郎, 吉田泰憲, 浦本秀隆ほか: 横行結腸間膜ヘルニアの1例. 外科　69: 492-494, 2007
18) 宮崎恭介, 佐々木剛志, 中村　透ほか: 腹腔鏡が有用であった横行結腸間膜裂孔ヘルニアの1例. 臨と研　78: 933-935, 2001
10) 齊藤卓也, 井川　理, 泉　　浩ほか: 高齢者に発症した横行結腸間膜裂孔ヘルニアの2例. 日腹部救急医会誌　26: 85-89, 2006
24) 鈴木英之, 古川清憲, 管　隼人ほか: イレウスに対する腹腔鏡下手術の適応. 日腹部救急医会誌　28: 47-52, 2008
8) 中田岳成, 小山　洋, 熊木俊成ほか: 高齢にて発症した横行結腸間膜裂孔による網嚢ヘルニアの1例. 日臨外会誌　62: 821-823, 2001
14) 石井　博, 高倉範尚, 森　雅信ほか: 横行結腸間膜裂孔による網嚢ヘルニアの1例. 広島医　41: 1840-1842, 1988
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transverse mesocolon
Title A Case of Transverse Mesocolon Hernia
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