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An internal hernia projecting through a mesenteric defect following laparoscopic-assisted partial resection of the transverse colon to the lesser omental cleft: report of a case
We herein report a case of an internal hernia projecting through a mesenteric defect following laparoscopic-assisted colectomy to the lesser omental cleft in a 61-year-old female. We performed laparoscopic-assisted partial resection of the transverse colon to treat transverse colon cancer. Three yea...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Japan
2012
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3682091/ https://www.ncbi.nlm.nih.gov/pubmed/22820993 http://dx.doi.org/10.1007/s00595-012-0264-z |
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author | Masubuchi, Shinsuke Okuda, Junji Tanaka, Keitarou Kondo, Keisaku Asai, Keiko Kayano, Hajime Yamamoto, Masashi Uchiyama, Kazuhisa |
author_facet | Masubuchi, Shinsuke Okuda, Junji Tanaka, Keitarou Kondo, Keisaku Asai, Keiko Kayano, Hajime Yamamoto, Masashi Uchiyama, Kazuhisa |
author_sort | Masubuchi, Shinsuke |
collection | PubMed |
description | We herein report a case of an internal hernia projecting through a mesenteric defect following laparoscopic-assisted colectomy to the lesser omental cleft in a 61-year-old female. We performed laparoscopic-assisted partial resection of the transverse colon to treat transverse colon cancer. Three years and 6 months after the operation, the patient developed a bowel obstruction requiring surgical intervention. When we observed the intraperitoneal space under laparoscopy, we determined that the small intestine had passed into the bursa omentalis through the mesenteric defect. Additionally, an abnormal opening of the lesser omentum was present with a portion of the small intestine escaping into the space inferior to the liver. We performed reintegration of the escaped bowel and closed the mesenteric defect laparoscopically. This is the first case of an internal hernia projecting through a mesenteric defect following laparoscopic-assisted colectomy that we have experienced out of more than 2400 cases. Further research is needed to identify the patients who would benefit from the closure of mesenteric defects during laparoscopic-assisted colectomy. |
format | Online Article Text |
id | pubmed-3682091 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | Springer Japan |
record_format | MEDLINE/PubMed |
spelling | pubmed-36820912013-06-14 An internal hernia projecting through a mesenteric defect following laparoscopic-assisted partial resection of the transverse colon to the lesser omental cleft: report of a case Masubuchi, Shinsuke Okuda, Junji Tanaka, Keitarou Kondo, Keisaku Asai, Keiko Kayano, Hajime Yamamoto, Masashi Uchiyama, Kazuhisa Surg Today Case Report We herein report a case of an internal hernia projecting through a mesenteric defect following laparoscopic-assisted colectomy to the lesser omental cleft in a 61-year-old female. We performed laparoscopic-assisted partial resection of the transverse colon to treat transverse colon cancer. Three years and 6 months after the operation, the patient developed a bowel obstruction requiring surgical intervention. When we observed the intraperitoneal space under laparoscopy, we determined that the small intestine had passed into the bursa omentalis through the mesenteric defect. Additionally, an abnormal opening of the lesser omentum was present with a portion of the small intestine escaping into the space inferior to the liver. We performed reintegration of the escaped bowel and closed the mesenteric defect laparoscopically. This is the first case of an internal hernia projecting through a mesenteric defect following laparoscopic-assisted colectomy that we have experienced out of more than 2400 cases. Further research is needed to identify the patients who would benefit from the closure of mesenteric defects during laparoscopic-assisted colectomy. Springer Japan 2012-07-21 2013 /pmc/articles/PMC3682091/ /pubmed/22820993 http://dx.doi.org/10.1007/s00595-012-0264-z Text en © The Author(s) 2012 https://creativecommons.org/licenses/by/4.0/ This article is distributed under the terms of the Creative Commons Attribution License which permits any use, distribution, and reproduction in any medium, provided the original author(s) and the source are credited. |
spellingShingle | Case Report Masubuchi, Shinsuke Okuda, Junji Tanaka, Keitarou Kondo, Keisaku Asai, Keiko Kayano, Hajime Yamamoto, Masashi Uchiyama, Kazuhisa An internal hernia projecting through a mesenteric defect following laparoscopic-assisted partial resection of the transverse colon to the lesser omental cleft: report of a case |
title | An internal hernia projecting through a mesenteric defect following laparoscopic-assisted partial resection of the transverse colon to the lesser omental cleft: report of a case |
title_full | An internal hernia projecting through a mesenteric defect following laparoscopic-assisted partial resection of the transverse colon to the lesser omental cleft: report of a case |
title_fullStr | An internal hernia projecting through a mesenteric defect following laparoscopic-assisted partial resection of the transverse colon to the lesser omental cleft: report of a case |
title_full_unstemmed | An internal hernia projecting through a mesenteric defect following laparoscopic-assisted partial resection of the transverse colon to the lesser omental cleft: report of a case |
title_short | An internal hernia projecting through a mesenteric defect following laparoscopic-assisted partial resection of the transverse colon to the lesser omental cleft: report of a case |
title_sort | internal hernia projecting through a mesenteric defect following laparoscopic-assisted partial resection of the transverse colon to the lesser omental cleft: report of a case |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3682091/ https://www.ncbi.nlm.nih.gov/pubmed/22820993 http://dx.doi.org/10.1007/s00595-012-0264-z |
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