横行結腸が嵌頓した92歳大腿ヘルニアの1例

Abstract

We report a case of femoral hernia with an incarcerated transverse colon in an elderly patient. A 92-year-oldwomanvisitedanotherhospitalwithacomplaintofanorexiaandwasreferredtoourhospital withadiagnosisoffemoralhernia.AnabdominalCTrevealedthatthetransversecolonwasincarcerated intherightinguinalregion,whiletheoralsideoftheintestinewasdilatedfromthesameregion.Since theherniacouldnotbereducedbymanipulation,anemergencyoperationwasperformedundergeneral anesthesia.Thepresenceofafist-sizedherniasacthatwaslocatedcaudaltotheinguinalligamentledto adiagnosisoffemoralhernia.Thehernialcontentswerethetransversecolonandomentum.Anabsence ofnecrosiswasnoted,andsubsequently,thetransversecolonwasrepositionedintotheabdominalcavity through an additional incision in the lower abdomen. The hernia sac was ligated, and a flat mesh was placedinthepreperitonealspaceandfixedtotheCooper'sligament.Aseromawasdiscoveredaftersur-gery；however,thepatientwasdischargedhomeonthe21stpostoperativeday.