A CASE OF BILATERAL OBTURATOR HERNIA PREOPERATIVELY DIAGNOSED BY COMPUTED TOMOGRAPHY

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  • CTにて術前診断しえた両側閉鎖孔ヘルニアの1例

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Abstract

An 89-year-old woman was admitted to the hospital because of vomiting and high fever. Abdominal reontogengram showed intestinal obstruction. Definite diagnosis of bilateral obturator hernias was made by a pelvic CT. Emergency operation was performed. The ileum incarcerated into the right obturator foramen 55cm from the terminal ileum. It was easily reduced, and the right hernia hilum was closed with direct suture. On the left side, a peritoneal concave shape, suspected of being an empty hernial sac, was found. The porta was closed in a similar fashion. Twelve cases of bilateral obturator hernias can be seen in the Japanese literature. It is characteristic of this disease to repeat incarceration and reduction. The contralateral obturatory foramen should be inspected during laparotomy, even if preoperative diagnosis by CT is lateral.

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