A Case of Strangulated Intrapericardial Herniation of the Small Bowel following Pericardial-Peritoneal Window

We report a rare case of strangulated intrapericardial herniation of the small bowel following establishment of a pericardial-peritoneal window. A 96-year-old woman, in whom a pericardial-peritoneal window was established 5 months before for persistent pericardial effusion, developed sudden intense...

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Veröffentlicht in:Nippon Shokaki Geka Gakkai zasshi 2009/01/01, Vol.42(1), pp.118-121
Hauptverfasser: Kunisue, Hironori, Ichihara, Shuji, Nomura, Shuichi, Nogami, Tomohiro, Mori, Hideaki, Ohtani, Yu, Ishido, Norihiro, Ohta, Tetsuya, Usui, Yoshiyuki, Tanaka, Shinichiro
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container_end_page 121
container_issue 1
container_start_page 118
container_title Nippon Shokaki Geka Gakkai zasshi
container_volume 42
creator Kunisue, Hironori
Ichihara, Shuji
Nomura, Shuichi
Nogami, Tomohiro
Mori, Hideaki
Ohtani, Yu
Ishido, Norihiro
Ohta, Tetsuya
Usui, Yoshiyuki
Tanaka, Shinichiro
description We report a rare case of strangulated intrapericardial herniation of the small bowel following establishment of a pericardial-peritoneal window. A 96-year-old woman, in whom a pericardial-peritoneal window was established 5 months before for persistent pericardial effusion, developed sudden intense abdominal pain and was admitted to the hospital. Abdominal computed tomography revealed a segment of the small bowel in the pericardium. As strangulated intrapericardial hernia of the small bowel was suspected, emergent laparotomy was performed. A 30 cm segment of the small bowel was strangulated by the pericardial window, and was necrotic. Partial resection of the small bowel was performed and the window was covered by the round ligament of liver and closed. The postoperative course was good and the patient was discharged on the 24th postoperative day.
doi_str_mv 10.5833/jjgs.42.118
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source J-STAGE Free; Freely Accessible Japanese Titles; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals
subjects intrapericardial hernia
pericardial-peritoneal window
strangulated ileus
title A Case of Strangulated Intrapericardial Herniation of the Small Bowel following Pericardial-Peritoneal Window
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