• Internal medicine · Jan 2024

    Case Reports

    Obturator Hernia in a Patient Undergoing Hemodialysis: A Case Report.

    • Tomoaki Tokoyoda, Takahiro Inagaki, Yuki Aoki, Takeshi Okamoto, Takashi Nakajima, and Keisuke Teramoto.
    • Department of Nephrology, Nagoya Ekisaikai Hospital, Japan.
    • Intern. Med. 2024 Jan 1; 63 (1): 9710097-100.

    AbstractObturator hernia is a rare condition that commonly affects frail older women. A 54-year-old woman presented to our hospital with left hip joint pain. She had suffered a left pubic bone fracture and commenced maintenance hemodialysis. Pelvic computed tomography (CT) showed an incarcerated small intestine through the left obturator foramen, while abdominal CT showed marked intestinal dilatation. She underwent emergency laparotomy, and the incarcerated small intestine was found to be necrotic. Partial small intestinal resection and bilateral obturator hernioplasty were performed. Because obturator hernia is a potentially fatal condition, early detection and treatment are important.

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