A case of strangulated intrapericardial herniation of the small bowel following pericardial-peritoneal window

Hironori Kunisue; Shuji Ichihara; Shuichi Nomura; Tomohiro Nogami; Hideaki Mori; Yu Ohtani; Norihiro Ishido; Tetsuya Ohta; Yoshiyuki Usui; Shinichiro Tanaka

doi:10.5833/jjgs.42.118

A case of strangulated intrapericardial herniation of the small bowel following pericardial-peritoneal window

Hironori Kunisue, Shuji Ichihara, Shuichi Nomura, Tomohiro Nogami, Hideaki Mori, Yu Ohtani, Norihiro Ishido, Tetsuya Ohta, Yoshiyuki Usui, Shinichiro Tanaka

University Hospital

Research output: Contribution to journal › Article › peer-review

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 30cm 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.

Original language	English
Pages (from-to)	118-121
Number of pages	4
Journal	Japanese Journal of Gastroenterological Surgery
Volume	42
Issue number	1
DOIs	https://doi.org/10.5833/jjgs.42.118
Publication status	Published - Jan 2009

Keywords

Intrapericardial hernia
Pericardial-peritoneal window
Strangulated ileus

ASJC Scopus subject areas

Surgery
Gastroenterology

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A case of strangulated intrapericardial herniation of the small bowel following pericardial-peritoneal window. / Kunisue, Hironori; Ichihara, Shuji; Nomura, Shuichi; Nogami, Tomohiro; Mori, Hideaki; Ohtani, Yu; Ishido, Norihiro; Ohta, Tetsuya; Usui, Yoshiyuki; Tanaka, Shinichiro.

In: Japanese Journal of Gastroenterological Surgery, Vol. 42, No. 1, 01.2009, p. 118-121.

Research output: Contribution to journal › Article › peer-review

Kunisue, Hironori ; Ichihara, Shuji ; Nomura, Shuichi ; Nogami, Tomohiro ; Mori, Hideaki ; Ohtani, Yu ; Ishido, Norihiro ; Ohta, Tetsuya ; Usui, Yoshiyuki ; Tanaka, Shinichiro. / A case of strangulated intrapericardial herniation of the small bowel following pericardial-peritoneal window. In: Japanese Journal of Gastroenterological Surgery. 2009 ; Vol. 42, No. 1. pp. 118-121.

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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 30cm 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.",

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