재발성 교액성 폐쇄공 탈장
Recurrent Strangulated Obturator Hernia
최한진, 최동호, 김한준, 이경근, 권오정, 이흥우, 이광수,
소속 상세정보
최한진 ( Choi Han-Jin )
한양대학교 의과대학 외과학교실
최동호 ( Choi Dong-Ho )
한양대학교 의과대학 외과학교실
김한준 ( Kim Han-Joon )
한양대학교 의과대학 외과학교실
이경근 ( Lee Kyeong-Geun )
한양대학교 의과대학 외과학교실
권오정 ( Kwon Oh-Jung )
한양대학교 의과대학 외과학교실
이흥우 ( Lee Heung-Woo )
한양대학교 의과대학 외과학교실
이광수 ( Lee Kwong-Soo )
한양대학교 의과대학 외과학교실
KMID : 0371320020630060509
Abstract
An obturator hernia is a rare condition, occurring most frequently in elderly and debilitated women. The diagnosis is difficult, and delayed treatment is associated with serious complications. In most cases, it produces a small bowel obstruction with
high morbidity and mortality. We experienced an unusual case of a left recurrent obturator hernia. The patient was a 76-year-old woman with atrial fibrillation, presented with intermittent generalized abdominal pain and distension. The patient underwent
a laparotomy because of a left incarcerated obturator hernia 2 years ago. The abdominal plain X-ray showed evidence of a small bowel obstruction. A CT scan established a correct diagnosis. Consequently, the patient underwent an immediate laparotomy.
There were a few necrotic foci on the herniated small bowel wall. Therefore, a segmental resection of the small bowel was performed. To prevent a recurrence, the hernial defect was closed with several interrupted sutures between the peritoneum and
periosteum of the obturator foramen. As patients with an obturator hernia are almost elderly women, and often have multiple concurrent medical problems. An immediate CT scan of the abdomen, including the pelvic area, should achieve an early diagnosis.
Early surgical intervention should be done without serious medical diseases. Besides definitive surgery is needed to prevent a recurrence.
키워드
재발성 폐쇄공 탈장; 교액; Recurrent obturator hernia; Strangulation;
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