[Case report of internal hernia after surgery for gastric cancer].

Abstract

We report rare cases of internal hernia after surgery for gastric cancer. Four patients who had undergone gastrectomy (Roux-en Y reconstruction) for gastric cancer were admitted to our hospital after onset of abdominal pain or vomiting. Abdominal X-ray revealed small intestine gas and niveau, and abdominal CT scan showed the whirl sign in all cases. We diagnosed internal hernia and performed surgery. In 3 cases, small intestine was strangulated through the space between the mesentery of the Roux-Limb and transverse mesocolon, and in one case, it was strangulated through the space between the mesentery of the Roux-Limb and the mesentery of afferent loop. We reversed the ileal strangulation and closed the hernia orifice.

• Authors: Ryohei Kawabata, Hiroshi Imamura, Tomono Kishimoto, Tameyoshi Yamamoto, Hiroyoshi Takemoto, Mutsumi Fukunaga, Hiroki Ohzato, Hiroshi Furukawa
• Journal: Gan to kagaku ryoho. Cancer & chemotherapy (Gan To Kagaku Ryoho) Vol. 37 Issue 12 Pg. 2475-7 (Nov 2010) ISSN: 0385-0684 [Print] Japan
• PMID: 21224611 (Publication Type: Case Reports, Journal Article)

Topics

• Aged
• Anastomosis, Roux-en-Y
• Gastrectomy
• Hernia (diagnostic imaging, etiology)
• Humans
• Male
• Middle Aged
• Postoperative Complications
• Stomach Neoplasms (surgery)
• Tomography, X-Ray Computed