Preoperative CT Diagnosed Transomental Internal Hernia with Intestinal Obstruction: A case report
Journal of the Korean Surgical Society
; : 703-708, 2000.
Article
en Ko
| WPRIM
| ID: wpr-163772
Biblioteca responsable:
WPRO
ABSTRACT
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.
Palabras clave
Texto completo:
1
Índice:
WPRIM
Asunto principal:
Epiplón
/
Vómitos
/
Tomografía Computarizada por Rayos X
/
Dolor Abdominal
/
Diagnóstico
/
Comidas
/
Hernia
/
Obstrucción Intestinal
/
Ligamentos
/
Calambre Muscular
Tipo de estudio:
Diagnostic_studies
Límite:
Female
/
Humans
Idioma:
Ko
Revista:
Journal of the Korean Surgical Society
Año:
2000
Tipo del documento:
Article