ID 109938
Title Transcription
フクブ ドンテキ ガイショウゴ チハツセイ ニ ショウジタ オウコウ ケッチョウ カンマク レッコウ ヘルニア ノ 1レイ
Title Alternative
A case of transverse colon hiatal hernia that occurred in the late onset after blunt abdominal injury
Author
Okushi, Yuichiro The post graduate education center, Tokushima Prefectural Central Hospital
Mori, Hayato Department of Surgery, Tokushima Prefectural Central Hospital
Morishita, Atsushi Department of Surgery, Tokushima Prefectural Central Hospital
Matsushita, Kenta Department of Surgery, Tokushima Prefectural Central Hospital
Kawakita, Naoya Department of Surgery, Tokushima Prefectural Central Hospital Tokushima University Educator and Researcher Directory
Kawashita, Yoichiro Department of Surgery, Tokushima Prefectural Central Hospital
Miyatani, Tomohiko Department of Surgery, Tokushima Prefectural Central Hospital KAKEN Search Researchers
Omura, Takeshi Department of Surgery, Tokushima Prefectural Central Hospital
Ikawa, Koichi Department of Surgery, Tokushima Prefectural Central Hospital
Hirose, Toshiyuki Department of Surgery, Tokushima Prefectural Central Hospital
Kuratate, Shinji Department of Surgery, Tokushima Prefectural Central Hospital
Yagi, Toshiyuki Department of Surgery, Tokushima Prefectural Central Hospital
Keywords
transverse colon hiatal hernia
biloma
blunt abdominal injury
acute abdoment
Content Type
Journal Article
Description
A 77-year-old woman presented to the emergency department with complains of abdominal pain and frequent vomiting.
In the past, she has never been on surgery but she suffered blunt liver injury after motor vehicle accident nine months ago. She was performed trans-catheter arterial embolization to the left hepatic lobe at that time and had been seeing a doctor regularly for post traumatic biloma.
The contrast-enhanced abdominal CT scan revealed a closed loop and a dilatation of a small intestine. She was diagnosed a small bowel obstruction due to a internal hernia.
She was operated urgently. The surgical exploration showed that the congested jejunum incarcerated into an omental bursa, and an adhesion of the jejunum mesentery and a greater omentum.
We found a mesentery hiatus of the transverse colon, through which a higher jejunum had incarcerated into the omental bursa. The jejunum was reduced manually and the hiatus was closed by suture. The patient followed a favorable postoperative course and was discharged on postoperative day6. We report a extremely rare transverse colon hiatal hernia that occurred in the late onset after blunt abdominal injury with the review of the literature.
Journal Title
四国医学雑誌
ISSN
00373699
NCID
AN00102041
Publisher
徳島医学会
Volume
71
Issue
5-6
Start Page
137
End Page
140
Sort Key
137
Published Date
2015-12-25
FullText File
language
jpn
TextVersion
Publisher
departments
University Hospital