A CASE OF OBTURATOR HERNIA WITH FEMORAL HERNIA CONTAINING THE APPENDIX

• SUGANUMA Toshiyuki

  Department of Surgery, Self Defense Force Yokosuka Hospital Department of Surgery, Self Defense Force Central Hospital

• HASE Kazuo

  Department of Surgery, Self Defense Force Central Hospital

• SHIKINA Atsushi

  Department of Surgery, Self Defense Force Central Hospital

• TANAKA Masafumi

  Department of Surgery, Self Defense Force Central Hospital

• UTSUNOMIYA Katsuyuki

  Department of Surgery, Self Defense Force Central Hospital

• FUJINO Keiichi

  Department of Surgery, Self Defense Force Central Hospital

Bibliographic Information

Other Title

• 虫垂をヘルニア内容とする大腿ヘルニアと閉鎖孔ヘルニアが併存した１例

Abstract

We report an extremely rare case of obturator hernia with the femoral hernia containing the appendix. A 77-year-old woman admitted for anemia was diagnosed as an incarcerated femoral hernia based on a painful tumor on her right thigh and ileac symptoms appearing during hospitalization. She underwent emergency surgery. The swollen appendix was contained in the hernia sac, to which it adhered. Surgery included appendectomy, excision of the hernia sac, and the McVay, but her ileac symptoms did not improve. On postoperative day (POD) 7, a longtube was inserted and radiological enteroclysis showed obstruction of the small intestine in the right pelvic space. Abdominal CT showed an oval mass with a clear margin between the external and pectineal muscles. She was diagnosed with right obturator hernia on POD 9, and again underwent emergency laparotomy. The small intestine 190 cm from the ileum end was strangulated at the right obturator canal. After partial resection of the small intestine due to partial necrosis, the hernia hilum was closed with direct sutures. She was discharged on POD 35.

Journal

• Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)

  Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 65 (4), 1112-1116, 2004

  Japan Surgical Association

Keywords

• 大腿ヘルニア
• 閉鎖孔ヘルニア
• 虫垂

Details

• CRID: 1390282679822573952
• NII Article ID: 130003432834
• NII Article ID: 10012953029
• NII Book ID: AA11189709
• DOI: 10.3919/jjsa.65.1112
• ISSN: 18825133
• ISSN: 13452843
• ISSN: http://id.crossref.org/issn/13452843
• Web Site: http://www.jstage.jst.go.jp/article/ringe1998/65/4/65_4_1112/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2004211994
• Text Lang: ja
• Data Source:
  • JaLC
  • Crossref
  • CiNii Articles
• Abstract License Flag: Disallowed