Abstract
A 50-year-old man was admitted to the hospital because of lower abdominal pain. He had neither a past history of surgery nor injury. An abdominal X-ray film showed niveau. No symptomatic remission could be achieved with a conservative therapy using an ileus-tube under a diagnosis of intestinal obstruction. An operation was carried out on the 7th day after the onset of symptom. There was incarceration of the small bowel 50cm proximal from the terminal ileum into a mesenteric defect of the right side of the sigmoid colon, and the proximal small bowel was dilated. We reduced the incarcerated ileum with manual procedure, and closed the hernia orifice because of no circulation obstacle of the affected ileum. The post operative course was uneventful and on the 22nd post operative day the patient was discharged. The occurrence of internal hernia involving the sigmoid mesocolon is not common, and among of them, such cases as having an intrasigmoid hernia have come to only twelve including this case in Japan so far. Some bibliographical comments are also presented.
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Schedule a callMore From: Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
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