title: Internal hernia caused by epiploic appendices successfully treated by single-incision laparoscopic surgery (SILS).
abstract: Internal hernia is a rare and often overlooked cause of small bowel obstruction. We report a case of internal hernia with an orifice composed of epiploic fat, successfully diagnosed and treated by single-incision laparoscopic surgery. This is the second report of this type of internal hernia and the first reported case addressed laparoscopically. Although the use of laparoscopy for the treatment of small bowel obstruction is not firmly established today, it may be beneficial for both its diagnostic value and as a less invasive treatment.
authors.affiliation: Department of Surgery, Tokyo Bay Urayasu Ichikawa Medical Center (Noguchi Hideyo Memorial International Hospital), 3-4-32, Todaijima, Urayasu, Chiba, 279-0001, Japan.
authors.forename: Y
authors.initials: Y
authors.lastname: Suzuki
authors.affiliation: Department of Surgery, Tokyo Bay Urayasu Ichikawa Medical Center (Noguchi Hideyo Memorial International Hospital), 3-4-32, Todaijima, Urayasu, Chiba, 279-0001, Japan. x62h20k38@yahoo.co.jp.
authors.forename: H
authors.initials: H
authors.lastname: Katagiri
authors.affiliation: Department of Surgery, Tokyo Bay Urayasu Ichikawa Medical Center (Noguchi Hideyo Memorial International Hospital), 3-4-32, Todaijima, Urayasu, Chiba, 279-0001, Japan.
authors.forename: Y
authors.initials: Y
authors.lastname: Yoshinaga
authors.affiliation: Department of Surgery, Jichi Medical University, 1-3311 Yakushiji, Shimotsuke, Tochigi, 329-0498, Japan.
authors.forename: A T
authors.initials: AT
authors.lastname: Lefor
authors.affiliation: Department of Surgery, Tokyo Bay Urayasu Ichikawa Medical Center (Noguchi Hideyo Memorial International Hospital), 3-4-32, Todaijima, Urayasu, Chiba, 279-0001, Japan.
authors.forename: K
authors.initials: K
authors.lastname: Mizokami
mesh_terms: D006547:Hernia / Q000150:complications / Q000000981:diagnostic imaging*; D059685:Herniorrhaphy; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology / Q000601:surgery*; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D011859:Radiography
keywords: Epiploic appendix; Internal hernia; Single-incision laparoscopic surgery (SILS); Small bowel obstruction