A Case Report of Elective Operation Following Noninvasive Reduction of Obturator Hernia

Takashi Funato, Masayoshi Ichihashi, Hiroshi Inui, Makoto Tarao, Akihiko Goto

Department of Surgery, Hashima City Hospital

Obturator hernias are comparatively rare and the mortality rate is high. However, with the spread of the concept of this disease and recent improvement in the preoperative diagnostic rate, the feasibility of a noninvasive hernia reposition operations will come into question in the future. This paper presents a case of obturator hernia successfully treated by non-invasive reduction and describes its indications together with some literature revies. The patient was an 84-year-old woman. She presented at our Emergency Outpatient Clinic with sudden stomachache and right femoral pain. Vaginal examination and computed tomography of the pelvis on suspition of obturator hernia reverled a mass at the region of the right obturator foramen. Transvaginal reduction under the definitive diagnosis of this disease resulted in dramatic improvement of the symptom, and the foramen became palpable. Subsequent elected operation for the sake of precaution disclosed neither circulatory disturbance in the samll intestine nor responsible lesion except at the region of the foramen. The operation was ended by closure of the formen, without enterectomy.

Key words
strangulated obturator hernia, noninvasive reduction of the obturator hernia

Reprint requests
Takashi Funato Department of Surgery, Hashima City Hosptial
3-246 Shinsei-machi, Hashima, 501-62 JAPAN

Accepted
November 8, 1989

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