A case of internal hernia of the incarcerated stomach

Abstract

An 84-year-old woman was admitted for vomiting and hematemesis. She had no previous history of laparotomy. A soft mass was derected on palpation of the abdomen. Upper gastrointestinal endoscopic examination showed a stricture of the gastric body and a stenosis of the antrum of the stomach. Abdominal computed tomography showed significant dilation of the stomach and stricture of the gastric body. Thickening of the wall of the gastric antrum was observed replace with ; however, no tumors were found in the surroundings of the stomach. An operation was performed for gastric cancer. Laparotomy revealed hernia hiatus about 7-cm in length in the omental bursa ; the hernia hiatus was located between the mesentery of the transverse colon and the pancreas. The stomach was incarcerated in the retroperitoneal space. The stomach was reverted by manipulation and the hernia hiatus was repaired by suture. The postoperative course was uneventful.