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Obturator Hernia in a Patient Undergoing Hemodialysis
Tomoaki Tokoyoda1, Takahiro Inagaki1, Yuki Aoki1
1Department of Nephrology, Nagoya Ekisaikai Hospital, Japan.
Internal Medicine (Tokyo, Japan)
|March 17, 2023
Summary
Obturator hernia, a rare condition, can cause hip pain and intestinal obstruction. Early detection and surgical repair are crucial for potentially fatal cases.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Geriatric Medicine
Background:
- Obturator hernia is a rare condition, typically affecting elderly, frail women.
- It often presents with non-specific symptoms, leading to delayed diagnosis.
Observation:
- A 54-year-old woman with a history of pelvic fracture and hemodialysis presented with left hip pain.
- Pelvic CT revealed an incarcerated small intestine within the left obturator foramen.
- Abdominal CT demonstrated significant intestinal dilation.
Findings:
- Emergency laparotomy confirmed a necrotic, incarcerated small intestine.
- Surgical intervention included partial small intestinal resection and bilateral obturator hernioplasty.
- Necrosis indicated a severe, advanced stage of the obturator hernia.
Implications:
- This case highlights the importance of considering obturator hernia in patients with hip pain and risk factors.
- Prompt diagnosis and surgical management are vital to prevent life-threatening complications.
- Obturator hernioplasty is an effective treatment for this rare condition.
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