자발성 경그물막 탈장에 의한 소장 폐색: 증례 보고

An internal hernia is a protrusion of visceral contents through a defect in the mesentery or peritoneum. Small bowel obstruction is a common clinical presentation of internal hernias, accounting for 4.1% of all intestinal obstructions. Transomental hernia is a rare type of internal hernia (1-4% of i...

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Bibliographic Details
Published inThe Korean journal of gastroenterology Vol. 80; no. 4; pp. 186 - 189
Main Authors 안소라, So Ra Ahn, 김근영, Keun Young Kim, 이주현, Joo Hyun Lee
Format Journal Article
LanguageEnglish
Korean
Published 대한소화기학회 31.10.2022
Subjects
Internal hernia
Intestinal obstruction
Omentum
내과학
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ISSN1598-9992
2233-6869
DOI10.4166/kjg.2022.065

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Summary:An internal hernia is a protrusion of visceral contents through a defect in the mesentery or peritoneum. Small bowel obstruction is a common clinical presentation of internal hernias, accounting for 4.1% of all intestinal obstructions. Transomental hernia is a rare type of internal hernia (1-4% of internal hernias), with non-specific symptoms, making its preoperative diagnosis difficult. It is strangulated more frequently, and the postoperative mortality rate is high (30%). Therefore, early diagnosis and management are crucial. We report a case of a 77-year-old female who presented with small bowel obstruction, and a suspected incarcerated internal hernia on abdomen-pelvis CT. A spontaneous transomental hernia was confirmed on emergency laparotomy. (Korean J Gastroenterol 2022;80:186-189)
Bibliography:Korean Society of Gastroenterology
ISSN:1598-9992
2233-6869
DOI:10.4166/kjg.2022.065