title: [Case report of internal hernia after surgery for gastric cancer].
abstract: We report rare cases of internal hernia after surgery for gastric cancer. Four patients who had undergone gastrectomy (Roux-en Y reconstruction) for gastric cancer were admitted to our hospital after onset of abdominal pain or vomiting. Abdominal X-ray revealed small intestine gas and niveau, and abdominal CT scan showed the whirl sign in all cases. We diagnosed internal hernia and performed surgery. In 3 cases, small intestine was strangulated through the space between the mesentery of the Roux-Limb and transverse mesocolon, and in one case, it was strangulated through the space between the mesentery of the Roux-Limb and the mesentery of afferent loop. We reversed the ileal strangulation and closed the hernia orifice.
authors.affiliation: Dept. of Surgery, Sakai Municipal Hospital.
authors.forename: Ryohei
authors.initials: R
authors.lastname: Kawabata
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Imamura
authors.forename: Tomono
authors.initials: T
authors.lastname: Kishimoto
authors.forename: Tameyoshi
authors.initials: T
authors.lastname: Yamamoto
authors.forename: Hiroyoshi
authors.initials: H
authors.lastname: Takemoto
authors.forename: Mutsumi
authors.initials: M
authors.lastname: Fukunaga
authors.forename: Hiroki
authors.initials: H
authors.lastname: Ohzato
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Furukawa
mesh_terms: D000368:Aged; D000713:Anastomosis, Roux-en-Y; D005743:Gastrectomy; D006547:Hernia / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D013274:Stomach Neoplasms / Q000601:surgery*; D014057:Tomography, X-Ray Computed