| Item type |
デフォルトアイテムタイプ_（フル）(1) |
| 公開日 |
2023-03-18 |
| タイトル |
|
|
タイトル |
An Incarcerated Internal Hernia of the Small Intestine through a Defect of the Broad Ligament : A Case Report |
|
言語 |
en |
| 作成者 |
Tazaki, Tatsuya
Tsumura, Hiroaki
Hino, Hiroshi
Yamaoka, Hiroaki
Kanehiro, Tetsuya
Ichikawa, Toru
|
| アクセス権 |
|
|
アクセス権 |
open access |
|
アクセス権URI |
http://purl.org/coar/access_right/c_abf2 |
| 権利情報 |
|
|
権利情報 |
(c) Hiroshima University Medical Press. |
| 主題 |
|
|
主題Scheme |
Other |
|
主題 |
Internal hernia |
| 主題 |
|
|
主題Scheme |
Other |
|
主題 |
Broad ligament |
| 主題 |
|
|
主題Scheme |
Other |
|
主題 |
Computed tomography |
| 主題 |
|
|
主題Scheme |
NDC |
|
主題 |
490 |
| 内容記述 |
|
|
内容記述 |
Internal hernias through broad ligament defects are very rare and difficult to diagnose preoperatively. We report the case of a 92-year-old woman who was admitted to our hospital for abdominal pain. The contrast-enhanced multi-detector CT (MDCT) showed a dilated small intestine in the left lower abdomen. The proximal and distal transition point of the small intestine was adjacent to the left broad ligament. The uterus was compressed right ventrally. The penetration of the small intestine through the left broad ligament from ventral to dorsal was also visualized. From these findings, an internal broad ligament hernia with incarcerated bowel was suspected. Despite our strong recommendation several times of an exploratory laparotomy, the patient flatly refused surgery because of her advanced age. We thus unwillingly chose conservative treatment with the transnasal placement of a drainage catheter. The following morning, she consented to surgery due to worsening abdominal pain and underwent a laparotomy 33 hr after onset. A 120-cm long loop of small bowel had herniated through a defect in the left broad ligament. This necrotic segment of bowel was resected and end-to-end anastomosis was performed. The defect in the broad ligament was closed to avoid recurrence. The postoperative course was unremarkable. MDCT is useful in the preoperative diagnosis of this disease. |
|
言語 |
en |
| 出版者 |
|
|
出版者 |
Hiroshima University Medical Press |
| 言語 |
|
|
言語 |
eng |
| 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 |
| 出版タイプ |
|
|
出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| 収録物識別子 |
|
|
収録物識別子タイプ |
ISSN |
|
収録物識別子 |
0018-2052 |
| 収録物識別子 |
|
|
収録物識別子タイプ |
NCID |
|
収録物識別子 |
AA00664312 |
| 開始ページ |
|
|
開始ページ |
39 |
| 書誌情報 |
Hiroshima Journal of Medical Sciences
Hiroshima Journal of Medical Sciences
巻 62,
号 2,
p. 39-42,
発行日 2013-06
|
| 旧ID |
35028 |
HiroshimaJMedSci_62_39.pdf (498.0 KB)
