Internal Hernia into the Treitz Fossa after Pancreaticoduodenectomy
The development of an internal hernia into the Treitz fossa after pancreaticoduodenectomy has not been previously reported. We herein present such a case with a brief review of the literature. A 43-year-old man who had undergone pancreaticoduodenectomy with reconstruction of the digestive tract by t...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Karger Publishers
2017-10-01
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| Series: | Case Reports in Gastroenterology |
| Subjects: | |
| Online Access: | https://www.karger.com/Article/FullText/479309 |
| _version_ | 1819264973624311808 |
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| author | Takahiro Yamanaka Kenichiro Araki Kei Hagiwara Norihiro Ishii Mariko Tsukagoshi Takamichi Igarashi Akira Watanabe Norio Kubo Hiroyuki Kuwano Ken Shirabe |
| author_facet | Takahiro Yamanaka Kenichiro Araki Kei Hagiwara Norihiro Ishii Mariko Tsukagoshi Takamichi Igarashi Akira Watanabe Norio Kubo Hiroyuki Kuwano Ken Shirabe |
| author_sort | Takahiro Yamanaka |
| collection | DOAJ |
| description | The development of an internal hernia into the Treitz fossa after pancreaticoduodenectomy has not been previously reported. We herein present such a case with a brief review of the literature. A 43-year-old man who had undergone pancreaticoduodenectomy with reconstruction of the digestive tract by the Child method at our hospital 7 months previously presented with abdominal pain. Computed tomography showed intestinal ileus with formation of a small intestinal loop that was suspected to be an internal hernia. Intraoperatively, we found that the dilated small intestine had entered the upper side of the abdomen from the ligament of Treitz. We detached the intestine from the hernia and placed it in its normal position. The ligament of Treitz at the hernia orifice was closed with sutures. The patient remained in good health and was discharged from the hospital 18 days after the second operation. Suturing of the Treitz fossa at the time of pancreaticoduodenectomy may be important to prevent the formation of an internal hernia. |
| first_indexed | 2024-12-23T20:38:00Z |
| format | Article |
| id | doaj.art-4a0fb128dfdf44dfa5222d4d1f3ec9e9 |
| institution | Directory Open Access Journal |
| issn | 1662-0631 |
| language | English |
| last_indexed | 2024-12-23T20:38:00Z |
| publishDate | 2017-10-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Case Reports in Gastroenterology |
| spelling | doaj.art-4a0fb128dfdf44dfa5222d4d1f3ec9e92022-12-21T17:32:01ZengKarger PublishersCase Reports in Gastroenterology1662-06312017-10-0111364364610.1159/000479309479309Internal Hernia into the Treitz Fossa after PancreaticoduodenectomyTakahiro YamanakaKenichiro ArakiKei HagiwaraNorihiro IshiiMariko TsukagoshiTakamichi IgarashiAkira WatanabeNorio KuboHiroyuki KuwanoKen ShirabeThe development of an internal hernia into the Treitz fossa after pancreaticoduodenectomy has not been previously reported. We herein present such a case with a brief review of the literature. A 43-year-old man who had undergone pancreaticoduodenectomy with reconstruction of the digestive tract by the Child method at our hospital 7 months previously presented with abdominal pain. Computed tomography showed intestinal ileus with formation of a small intestinal loop that was suspected to be an internal hernia. Intraoperatively, we found that the dilated small intestine had entered the upper side of the abdomen from the ligament of Treitz. We detached the intestine from the hernia and placed it in its normal position. The ligament of Treitz at the hernia orifice was closed with sutures. The patient remained in good health and was discharged from the hospital 18 days after the second operation. Suturing of the Treitz fossa at the time of pancreaticoduodenectomy may be important to prevent the formation of an internal hernia.https://www.karger.com/Article/FullText/479309PancreaticoduodenectomyInternal herniaTreitz fossa |
| spellingShingle | Takahiro Yamanaka Kenichiro Araki Kei Hagiwara Norihiro Ishii Mariko Tsukagoshi Takamichi Igarashi Akira Watanabe Norio Kubo Hiroyuki Kuwano Ken Shirabe Internal Hernia into the Treitz Fossa after Pancreaticoduodenectomy Case Reports in Gastroenterology Pancreaticoduodenectomy Internal hernia Treitz fossa |
| title | Internal Hernia into the Treitz Fossa after Pancreaticoduodenectomy |
| title_full | Internal Hernia into the Treitz Fossa after Pancreaticoduodenectomy |
| title_fullStr | Internal Hernia into the Treitz Fossa after Pancreaticoduodenectomy |
| title_full_unstemmed | Internal Hernia into the Treitz Fossa after Pancreaticoduodenectomy |
| title_short | Internal Hernia into the Treitz Fossa after Pancreaticoduodenectomy |
| title_sort | internal hernia into the treitz fossa after pancreaticoduodenectomy |
| topic | Pancreaticoduodenectomy Internal hernia Treitz fossa |
| url | https://www.karger.com/Article/FullText/479309 |
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