scholarly journals Internal Hernia through a Peritoneal Defect in the Pouch of Douglas Successfully Diagnosed and Treated by Single-incision Laparoscopic Surgery—A Case Report—

2019 ◽  
Vol 80 (6) ◽  
pp. 1244-1249
Author(s):  
Ryo MIURA ◽  
Mitsuhiro MUKAIYA ◽  
Ai NODA ◽  
Kenta NAKAYAMA
2009 ◽  
Vol 5 (3) ◽  
pp. 362-364 ◽  
Author(s):  
Sarah C. Oltmann ◽  
Homero Rivas ◽  
Esteban Varela ◽  
Mouza T. Goova ◽  
Daniel J. Scott

2015 ◽  
Vol 100 (5) ◽  
pp. 920-923 ◽  
Author(s):  
Koichiro Mori ◽  
Yuhki Koike ◽  
Mikihiro Inoue ◽  
Kohei Ohtake ◽  
Koji Tanaka ◽  
...  

We describe here a child with angiodysplasia of the small intestine, diagnosed by double-balloon endoscopy (DBE), who was treated with transumbilical single-incision laparoscopic surgery (T-SILS). A 9-year-old boy presented to another hospital with intermittent fresh melena of a duration of 5 months and 4 days. Anoscopy and gastric mucosal membrane scintigraphy were unsuccessful diagnostically, and he was referred to our hospital for further examination and treatment. Under general anesthesia, we performed DBE by an anal route, with the ileum assessed for a distance of about 150 cm from the ileocecal valve. Although no bleeding lesion was found in the colon, a flat elevated venous lake approximately 20 mm in size was observed 20 cm from the ileocecal valve, suggesting angiodysplasia of the small intestine. A tattoo was made under DBE, and wedge resection by T-SILS was performed 1 month later under general anesthesia. The excised specimen appeared as a flat, elevated venous lake approximately 20 mm in size. Histopathologic analysis revealed several dilated and distorted veins within the submucosa of the small intestine. The patient was diagnosed with angiodysplasia of the small intestine. His postoperative course was uneventful, and he remained free of recurrent gastrointestinal bleeding 18 months after the operation. This is the first case report showing the diagnosis, localization, and tattooing of an obscure gastrointestinal bleeding lesion of the small intestine by preoperative DBE and removal of the lesion by subsequent T-SILS in children.


2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
Takahiro Watanabe ◽  
Hidetoshi Wada ◽  
Masanori Sato ◽  
Yuichirou Miyaki ◽  
Norihiko Shiiya

Intersigmoid hernia is a rare form of internal hernia. Here, we report a case of intersigmoid hernia and provide a brief review of the 62 cases involving the mesosigmoid reported in Japan from 2000 to 2013. In the current case, a 26-year-old man with no previous history of abdominal surgery presented with abdominal pain and vomiting. Abdominal computed tomography revealed an extensively dilated small bowel and a closed loop of small bowel in the mesosigmoid. The patient was diagnosed with an intestinal obstruction due to an incarcerated internal hernia involving the mesosigmoid. There was no blood flow obstruction at the incarcerated bowel. An elective single-incision laparoscopic surgery was performed after decompression of the bowel using ileus tube. As the ileum herniated into the intersigmoid fossa, the patient was diagnosed with an intersigmoid hernia. The incarcerated small bowel was reduced in order to make it viable, and the hernial defect was closed with interrupted sutures. The patient had an uneventful recovery and was discharged on postoperative day five.


Sign in / Sign up

Export Citation Format

Share Document