2022 Volume 64 Issue 6 Pages 1235-1240
A 69-year-old female patient underwent an abdominal examination to determine the cause of strong resistance in the transverse colon during colonoscopy. Swelling was confirmed in the area surrounding the umbilical region and the CS was felt within the swelling. After confirming the location of the hernia orifice, manual compression was carefully applied to maneuver the hernia content into the peritoneal cavity. Continued manual compression allowed for observation of the entire large intestine. Although a polyp was confirmed in the sigmoid colon, it was resected at a later date using the CS. From the beginning of the examination, manual compression of the hernia orifice was performed in the umbilical region, enabling easy observation of the entire large intestine. The polyp in the sigmoid colon was resected. Since the patient complained of abdominal pain after completion of the examination, CT examination was performed. Umbilical hernia containing the transverse colon was confirmed, but no findings suggested a perforated intestinal tract, and the abdominal pain improved spontaneously.
When using a CS, it is important to determine whether there is a history of abdominal hernia. When umbilical hernia is diagnosed, it is effective to reduce the hernia content into the peritoneal cavity upon application of the CS. In addition, when discomfort is felt during insertion of the CS, abdominal examination should be performed.
