A Case of Bilateral Strangulated Obturator Hernia Treated with Ultrasound Guided Reduction and Elective Laparoscopic Hernia Repair

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  • Katoh Ryuji
    Department of General Surgical Science, Gunma University Graduate School of Medicine
  • Katayama Chika
    Department of General Surgical Science, Gunma University Graduate School of Medicine
  • Ozawa Naoya
    Department of General Surgical Science, Gunma University Graduate School of Medicine
  • Suga Kunihiko
    Department of General Surgical Science, Gunma University Graduate School of Medicine
  • Osone Katsuya
    Department of General Surgical Science, Gunma University Graduate School of Medicine
  • Takahashi Ryo
    Department of General Surgical Science, Gunma University Graduate School of Medicine
  • Takada Takahiro
    Department of General Surgical Science, Gunma University Graduate School of Medicine
  • Motegi Yoko
    Department of General Surgical Science, Gunma University Graduate School of Medicine
  • Ogawa Hiroomi
    Department of General Surgical Science, Gunma University Graduate School of Medicine
  • Shirabe Ken
    Department of General Surgical Science, Gunma University Graduate School of Medicine

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Other Title
  • 両側閉鎖孔ヘルニア嵌頓に対してエコーガイド下整復を行なった後，待機的に腹腔鏡下ヘルニア修復術を行なった1例
  • 症例報告 両側閉鎖孔ヘルニア嵌頓に対してエコーガイド下整復を行なった後,待機的に腹腔鏡下ヘルニア修復術を行なった1例
  • ショウレイ ホウコク リョウガワ ヘイサコウ ヘルニアカントン ニ タイシテ エコーガイド カ セイフク オ オコナッタ アト,タイキテキ ニ フククウキョウ カ ヘルニア シュウフクジュツ オ オコナッタ 1レイ

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<p>An 85 year-old female patient presented to our hospital emergency department for pneumonia and heart failure. She was transferred to a long-term care facility, but the day after transfer, her abdominal pain increased and she returned to our hospital. She was diagnosed with bilateral strangulated obturator hernia, and underwent ultrasound guided reduction of the incarceration. Ten days after her readmission, she underwent an elective laparoscopic hernia repair. The postoperative course was good, and she was transferred to a long-term care facility on postoperative day 7.</p><p>Obturator hernia is common in elderly people, and many of these patients have preexisting disease, increasing their risk of perioperative complication. We report a case in which we avoided emergency surgery by performing ultrasound guided reduction, and performing reliable treatment by elective laparoscopic surgery.</p>

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