ID | 55668 |
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フルテキストURL | |
著者 |
Otani, Hiroki
Department of Surgery, National Hospital Organization
Makihara, Shigeki
Department of Surgery, National Hospital Organization
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抄録 | Internal hernia related to paracecal hernia is a rare disease and is difficult to confirm by preoperative diagnosis. We recently encountered a case of an 83-year-old woman who had lower abdominal pain in her right quadrant. Based on physical findings and CT findings she was diagnosed as having small bowel obstruction by internal hernia around the cecum. She underwent emergency operation with laparoscopic surgery and was diagnosed with a paracecal hernia and treated laparoscopically. After we dissected the ventral wall of the hernia sac and enlarged the hernia orifice, we reduced the trapped small intestine into the abdominal space. We determined that the herniated portion of the small intestine was not necrotic and therefore did not resect it. Although paracecal hernia is a rare internal hernia, physicians should be aware of it as a differential diagnosis for small bowel obstruction because of its rapid progression to strangulation and necrosis. We highlight the importance of recognizing CT findings of paracecal internal hernia. Laparoscopy was effective both for making a definitive diagnosis and treating paracecal hernia with relatively little invasion.
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キーワード | paracecal hernia
laparoscopic surgery
internal hernia
small bowel obstruction
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Amo Type | Case Report
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出版物タイトル |
Acta Medica Okayama
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発行日 | 2018-02
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巻 | 72巻
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号 | 1号
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出版者 | Okayama University Medical School
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開始ページ | 81
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終了ページ | 84
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ISSN | 0386-300X
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NCID | AA00508441
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資料タイプ |
学術雑誌論文
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言語 |
英語
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著作権者 | CopyrightⒸ 2018 by Okayama University Medical School
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論文のバージョン | publisher
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査読 |
有り
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PubMed ID |