Abstract
The patient, a 34-year-old woman, was emergently admitted on May 21st, 1996, because of acute severe pain in the upper abdomen with repeated vomitting. Abdominal X-ray films showedseveral air-fluid levels in the upper abdominal area and abdominal CT scans showed a strangulated ileum located in the ventral space of the lateral segment of the left hepatic lobe. Under a diagnosis of incarcerated hernia, emergency laparatomy was performed. The operative diagnosis was incarcerated internal hernia through a small defect in the falciform ligament. The patient, in whom the strangulated ileum was resected and the small defect in the ligament repaired, was discharged from our hospital in good condition 20 days later. Only eight such cases have been reported, over the last half century, in the international literature. This very rare case is considered to be the fourth of its kind to be reported inJapan.
