ヘルニオグラフィーにて術前診断し，腹腔鏡下手術を施行した両側閉鎖孔ヘルニアの１例

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  • A case of bilateral non-strangulated obturator hernia diagnosed by herniography and repaired by a laparoscopic operation.

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With a recent progression in imaging technique, clinical reports on preoperatively diagnosed obturator hernia, which had conventionally thought to present difficulty in preoperative diagnosis, has increasingly been reported. We, however, have still great difficulty in diagnosing non-strangulated obturator hernias.<br>We report a case of non-strangulated bilateral obturator hernia which was diagnosed by herniography and repaired by a laparoscopic operation.<br>A 75-year-old woman was admitted to the hospital because of repeated abdominal pain and left femoral pain. Ultrasonography and CT scan showed no remarkable findings. From the patient's symptoms we suspect obturator hernia, and herniography was performed. Herniography revealed bilateral obturator hernia, which was radically repaired by a laparoscopic operation.<br>The combination of herniography and laparoscopic operation is very advantageous in diagnosing and repairing non-stragulated bilateral obturator hernia.

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