start-ver=1.4
cd-journal=joma
no-vol=125
cd-vols=
no-issue=2
article-no=
start-page=139
end-page=143
dt-received=
dt-revised=
dt-accepted=
dt-pub-year=2013
dt-pub=20130801
dt-online=
en-article=
kn-article=
en-subject=
kn-subject=
en-title=A case of strangulated ileus caused by internal hernia through a defect in the broad ligament of the uterus
kn-title=子宮広間膜裂孔ヘルニアによる絞扼性イレウスの１例
en-subtitle=
kn-subtitle=
en-abstract=
kn-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.
en-copyright=
kn-copyright=

en-aut-name=HaisaMinoru
en-aut-sei=Haisa
en-aut-mei=Minoru
kn-aut-name=羽井佐実
kn-aut-sei=羽井佐
kn-aut-mei=実
aut-affil-num=1
ORCID=

en-aut-name=SakaiRyo
en-aut-sei=Sakai
en-aut-mei=Ryo
kn-aut-name=酒井亮
kn-aut-sei=酒井
kn-aut-mei=亮
aut-affil-num=2
ORCID=

en-aut-name=KuriharaEisuke
en-aut-sei=Kurihara
en-aut-mei=Eisuke
kn-aut-name=栗原英祐
kn-aut-sei=栗原
kn-aut-mei=英祐
aut-affil-num=3
ORCID=

en-aut-name=TeramotoAtsushi
en-aut-sei=Teramoto
en-aut-mei=Atsushi
kn-aut-name=寺本淳
kn-aut-sei=寺本
kn-aut-mei=淳
aut-affil-num=4
ORCID=

en-aut-name=ShougaKazuhiko
en-aut-sei=Shouga
en-aut-mei=Kazuhiko
kn-aut-name=庄賀一彦
kn-aut-sei=庄賀
kn-aut-mei=一彦
aut-affil-num=5
ORCID=

en-aut-name=MitsuokaShintarou
en-aut-sei=Mitsuoka
en-aut-mei=Shintarou
kn-aut-name=光岡晋太郎
kn-aut-sei=光岡
kn-aut-mei=晋太郎
aut-affil-num=6
ORCID=

en-aut-name=NishimuraMamoru
en-aut-sei=Nishimura
en-aut-mei=Mamoru
kn-aut-name=西村守
kn-aut-sei=西村
kn-aut-mei=守
aut-affil-num=7
ORCID=

en-aut-name=SatouYuuki
en-aut-sei=Satou
en-aut-mei=Yuuki
kn-aut-name=佐藤雄紀
kn-aut-sei=佐藤
kn-aut-mei=雄紀
aut-affil-num=8
ORCID=

en-aut-name=NanbaJiro
en-aut-sei=Nanba
en-aut-mei=Jiro
kn-aut-name=難波次郎
kn-aut-sei=難波
kn-aut-mei=次郎
aut-affil-num=9
ORCID=

affil-num=1
en-affil=
kn-affil=岡山市立市民病院 消化器外科

affil-num=2
en-affil=
kn-affil=岡山市立市民病院 消化器外科

affil-num=3
en-affil=
kn-affil=岡山市立市民病院 消化器外科

affil-num=4
en-affil=
kn-affil=岡山市立市民病院 消化器外科

affil-num=5
en-affil=
kn-affil=岡山市立市民病院 消化器外科

affil-num=6
en-affil=
kn-affil=岡山市立市民病院 消化器外科

affil-num=7
en-affil=
kn-affil=岡山市立市民病院 消化器内科

affil-num=8
en-affil=
kn-affil=岡山市立市民病院 消化器内科

affil-num=9
en-affil=
kn-affil=岡山市立市民病院 消化器内科
en-keyword=子宮広間膜裂孔（broad ligament）
kn-keyword=子宮広間膜裂孔（broad ligament）
en-keyword=内ヘルニア（internal hernia）
kn-keyword=内ヘルニア（internal hernia）
en-keyword=絞扼性イレウス（strangulated ileus）
kn-keyword=絞扼性イレウス（strangulated ileus）
en-keyword=MDCT（multi-detector CT）
kn-keyword=MDCT（multi-detector CT）
END