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Journal of the Korean Surgical Society ; : 703-708, 2000.
Artículo en Coreano | WPRIM | ID: wpr-163772

RESUMEN

We report a case of an incarcerated internal hernia which was diagnosed preoperatively by using an abdominal CT scan. An-84-year-old female patient suddenly developed cramping upper abdominal pain after a meal, followed by nausea and vomiting associated with slight abdominal distension. This patient's initial abdominal plain X-ray was interpreted as indicating abdominal free gas. A dilated small bowel loop was revealed based on a late abdominal CT scan, and an internal hernia was suspected. On operation, herniation through defects in the gastrocolic omentum and gastrohepatic ligament was found and was successfully reduced. A jejunal loop internal herniation of this nature is extremely rare, and closed-loop obstructions result to incarceration or strangulation. When abnormal gas is detected at the right upper or the epigastric area in a simple abdominal X-ray. An unusual internal hernia must be a concern, and an abdominal CT scan can be useful for preoperative diagnosis.


Asunto(s)
Femenino , Humanos , Dolor Abdominal , Diagnóstico , Hernia , Obstrucción Intestinal , Ligamentos , Comidas , Calambre Muscular , Náusea , Epiplón , Tomografía Computarizada por Rayos X , Vómitos
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