Abstract
A case of internal hernia difficult for diagnosis has been reported with discussion of literature. A 62-year-old male was admitted with complaints of abdominal pain and body weight loss. Physical examination revealed epigastric tenderness but intestinal movement was not so increaed. Roentogenograms of the upper gastrointestinal tract, ultrasonography, and computed tomography of the abdomen were all within normal limits. After admission, he repeated to have paroxymal abdominal pain and vomiting. The roentogenographic findings of the abdomen suggested an obstraction of upper gastrointestinal tract. Roentogenogram of the upper gastrointestinal tract when he felt abdominal pain demonstrated the proximal portion of the Jujunum was located in abnormal portion. Then we suspected internal hernia and performed operation. At operation, the proximal Jujunum was enclosed in a hernial sac which was formed by the part of transverse mesocolon. The neck of the sac was located laterally of the inferior mesenteric vein. After surgery, the patient has remained asymptomatic and been able to eat.
