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Case Reports
. 2024 Jan 1;63(1):97-100.
doi: 10.2169/internalmedicine.1388-22. Epub 2023 Mar 15.

Obturator Hernia in a Patient Undergoing Hemodialysis

Tomoaki Tokoyoda  1 , Takahiro Inagaki  1 , Yuki Aoki  1 , Takeshi Okamoto  1 , Takashi Nakajima  1 , Keisuke Teramoto  2
Affiliations
Case Reports

Obturator Hernia in a Patient Undergoing Hemodialysis

Tomoaki Tokoyoda et al. Intern Med. .

Abstract

Obturator 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.

Keywords: hemodialysis; intestinal necrosis; obturator hernia.

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Conflict of interest statement

The authors state that they have no Conflict of Interest (COI).

Figures

Figure.
Figure.
Abdominopelvic contrast-enhanced computed tomography (CT) findings. (a) The small intestine was incarcerated through the left obturator foramen (arrow). The left pubic bone was found to be deformed by an obsolete fracture. The accumulation of ascites was seen in the right obturator foramen. (b) Small intestinal obstruction was observed.
See this image and copyright information in PMC

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