1ヵ月に発症した内ヘルニアによる回腸絞扼性イレウスの1例

Abstract

A one-month-old girl was admitted to the hospital with complaints of vomiting and abdominal distension. Laparotomy revealed acute intestinal obstruction resulting from internal herniation of the small bowel through a defect in the ileal mesentery. Transmesentric hernias are very uncommon and have neither special features nor any radiological appearance which offers any help in distinguishing it from other causes of intestinal obstruction. Therefore, preoperative diagnosis is difficult ; cases are diagnosed on exploration only and are recorded to be of high mortality.