J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 2367KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 97(9): 787-790, 1996

Case report

A CASE OF HERNIATION THROUGH A DEFECT IN THE FALCIFORM LIGAMENT AT LATE PREGNANCY

Department of Surgery, National Kokura Hospital, Fukuoka, Japan

Norihiro Sato, Takashi Miki, Takayuki Toyonaga, Hiroyuki Konomi, Toshiyuki Ishimitsu, Kazumitsu Nagafuchi, Shinji Matsumoto, Katsuhiko Kawakami

A very rare case of small bowel strangulation causd by herniation of a loop of ileum through a defect in the falciform ligament is reported. A 27-year-old woman in the 38 weeks and 5 days of pregnancy was adlnitted with a sudden onset of epigastralgia. Emergency laparotolny with cesarean section was performed. A strangulated loop of iluem was found to pass through a defect in the falciform ligament. The Iigamentum teres was divided to release the obstruction and the irreversible strangulated loop was resected. The strangulation was considered to have occurred because a loop of small bowel compressed by gestational uterus passed through a congenital defect in the falciform Iigament.

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