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KMID : 0371320000590050703
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Journal of the Korean Surgical Society
2000 Volume.59 No. 5 p.703 ~ p.707
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Preoperative CT Diagnosed Transomental Internal Hernia with Intestinal Obstruction -A case report-
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류재현/Jai Hyun Rhyou
정구용/최용만/서정수/Ku Young Chung/Young Man Choi/Jung Soo Seo
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Abstract
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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.
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