| 위결장인대의 결손을 통한 자발성 감금 경그물막탈장 1예와 국내 문헌 고찰 |
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| A Case Report of a Spontaneous Incarcerated Transomental Hernia through a Defect in
Gastrocolic Ligament with a Review of Domestic Literature on Transomental Internal Hernia |
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Young-Kyu Kim, Kyu Hee Her, Kwang Sig Kim |
Correspondence:
Kwang Sig Kim,
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| Abstract |
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Incarcerated transomental hernias through a defect in the gastrocolic ligament are extremely rare. A woman aged 51
who had upper abdominal pain for 5 hours was admitted to the emergency department of Jeju National University
Hospital. Abdominal computed tomography images revealed a protrusion of a jejunal segment into a lesser sac (omental
bursa) with mild wall thickening, decreased perfusion of bowel wall and perivascular fatty infiltrations in its mesentery.
These findings suggested an incarcerated transomental hernia into the lesser sac (omental bursa). She underwent a
diagnostic laparoscopy immediately. On the operative finding, there was a defect about 4 cm long in gastrocolic ligament
and the jejunal segment which was about 60 cm long and its mesentery were herniated through the defect. A reduction
of the jejunal segment and repair of the defect were totally done via laparoscopy. She was discharged on postoperative
day 3 uneventfully. Herein we reports about an experience of a spontaneous incarcerated transomental hernia of small
intestine through a defect in gastrocolic ligament and its successful laparoscopic surgical treatment with a review of
domestic literatures. |
| Key Words:
Hernia, Internal; Surgery, Laparoscopic; Hernia, Transomental; Ligament, Gastrocolic |
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