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 |
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container_title | Nippon Shokaki Geka Gakkai zasshi |
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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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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. 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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.</description><subject>intrapericardial hernia</subject><subject>pericardial-peritoneal window</subject><subject>strangulated ileus</subject><issn>0386-9768</issn><issn>1348-9372</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><recordid>eNpFkEFLAzEQhYMoWGpP_oHcZWuyye5mb9aitlBQqOJxmU2TbUqalGSl-O_NUmkvM_NmvjeHh9A9JdNCMPa423VxyvMppeIKjSjjIqtZlV-jEWGizOqqFLdoEqNpCSlElTQdof0MzyEq7DVe9wFc92OhVxu8dEkdVDASwsaAxQsVnIHeeDew_Vbh9R6sxc_-qCzW3lp_NK7DHxdPNsy9dyrZv43b-OMdutFgo5r89zH6en35nC-y1fvbcj5bZZJWucgk4S1oonVdcEGIqDVQSnUr0o6pgpe0EmVOZK4lq3Qty0Lkui5rXiWGg2Rj9HD6K4OPMSjdHILZQ_htKGmGsJohrIbnTQor0U8nehd76NSZhdAbadWFPZVkOZ_kFkKjHPsDMjx2Rw</recordid><startdate>20090101</startdate><enddate>20090101</enddate><creator>Kunisue, Hironori</creator><creator>Ichihara, Shuji</creator><creator>Nomura, Shuichi</creator><creator>Nogami, Tomohiro</creator><creator>Mori, Hideaki</creator><creator>Ohtani, Yu</creator><creator>Ishido, Norihiro</creator><creator>Ohta, Tetsuya</creator><creator>Usui, Yoshiyuki</creator><creator>Tanaka, Shinichiro</creator><general>The Japanese Society of Gastroenterological Surgery</general><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>20090101</creationdate><title>A Case of Strangulated Intrapericardial Herniation of the Small Bowel following Pericardial-Peritoneal Window</title><author>Kunisue, Hironori ; Ichihara, Shuji ; Nomura, Shuichi ; Nogami, Tomohiro ; Mori, Hideaki ; Ohtani, Yu ; Ishido, Norihiro ; Ohta, Tetsuya ; Usui, Yoshiyuki ; Tanaka, Shinichiro</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c1728-c04baf0ff95480089fa111fb8f0f3e546178620c2fc37f9c6582f96947fb84ac3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>intrapericardial hernia</topic><topic>pericardial-peritoneal window</topic><topic>strangulated ileus</topic><toplevel>online_resources</toplevel><creatorcontrib>Kunisue, Hironori</creatorcontrib><creatorcontrib>Ichihara, Shuji</creatorcontrib><creatorcontrib>Nomura, Shuichi</creatorcontrib><creatorcontrib>Nogami, Tomohiro</creatorcontrib><creatorcontrib>Mori, Hideaki</creatorcontrib><creatorcontrib>Ohtani, Yu</creatorcontrib><creatorcontrib>Ishido, Norihiro</creatorcontrib><creatorcontrib>Ohta, Tetsuya</creatorcontrib><creatorcontrib>Usui, Yoshiyuki</creatorcontrib><creatorcontrib>Tanaka, Shinichiro</creatorcontrib><collection>CrossRef</collection><jtitle>Nippon Shokaki Geka Gakkai zasshi</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kunisue, Hironori</au><au>Ichihara, Shuji</au><au>Nomura, Shuichi</au><au>Nogami, Tomohiro</au><au>Mori, Hideaki</au><au>Ohtani, Yu</au><au>Ishido, Norihiro</au><au>Ohta, Tetsuya</au><au>Usui, Yoshiyuki</au><au>Tanaka, Shinichiro</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Case of Strangulated Intrapericardial Herniation of the Small Bowel following Pericardial-Peritoneal Window</atitle><jtitle>Nippon Shokaki Geka Gakkai zasshi</jtitle><addtitle>Jpn J Gastroenterol Surg</addtitle><date>2009-01-01</date><risdate>2009</risdate><volume>42</volume><issue>1</issue><spage>118</spage><epage>121</epage><pages>118-121</pages><issn>0386-9768</issn><eissn>1348-9372</eissn><abstract>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.</abstract><pub>The Japanese Society of Gastroenterological Surgery</pub><doi>10.5833/jjgs.42.118</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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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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