Journal of the Korean Society of Radiology (대한영상의학회지)

The Korean Society of Radiology (대한영상의학회)
권호 표지

Contralateral Obturator Hernia Immediately after a Right Obturator Herniorrhaphy: A Case Report

우측 폐쇄공탈장 수술 직후 발생한 반대쪽 폐쇄공탈장: 증례 보고

  • Oh, Soo-Jin (Department of Radiology, Soonchunhyang University Cheonan Hospital) ;
  • Choi, Gyo-Chang (Department of Radiology, Soonchunhyang University Gumi Hospital) ;
  • Kim, Hyeong-Soo (Department of General Surgery, Soonchunhyang University Gumi Hospital)
  • 오수진 (순천향대학교 천안병원 영상의학과) ;
  • 최교창 (순천향대학교 구미병원 영상의학과) ;
  • 김형수 (순천향대학교 구미병원 외과)
  • Received : 2010.06.04
  • Accepted : 2010.08.20
  • Published : 2010.11.01
⟨ Previous Next ⟩

Abstract

An obturator hernia is a very rare condition that occurs in elderly debilitated women and its nonspecific symptoms delay the diagnosis. Computed tomography is a useful tool for the early diagnosis of an obturator hernia. Previous studies report that bilateral obturator hernias comprise approximately 6% of all obturator hernias is 6%. To the best of our knowledge, there is no reported case of a contralateral obturator hernia immediately after a herniorrhaphy. We report a case of contralateral obturator hernia thst occurred immediately after a right obturator herniorrhaphy.

폐쇄공탈장은 매우 드문 질환으로 고령의 마른 여성에서 잘 발생하며 비특이적인 증상을 나타내어 진단이 지연될 수 있으나 CT를 이용함으로써 정확하고 신속한 진단이 가능하게 되었다. 폐쇄공탈장이 양측성 또는 다른 탈장과 함께 발생하는 경우는 전체 폐쇄공탈장의 약 6%로 보고되어 있지만, 한쪽의 폐쇄공탈장 수술 직후 반대쪽의 폐쇄공탈장이 발생했다는 보고는 저자들이 알기에는 없다. 이에 저자들은 우측 폐쇄공탈장 수술 직후 좌측 폐쇄공탈장이 발생한 1예가 있어 문헌 고찰과 함께 보고하고자 한다.

Keywords

References

  1. 박찬용, 김정철, 최수진나, 김신곤. 감돈 폐쇄공탈장: 자연 정복된 폐쇄공탈장에서 탈장교정술의 필요성. 대한외과학회지 2009;76:192-198
  2. Cubillo E. Obturator hernia diagnosed by computed tomography. AJR Am J Roentgenol 1983;140:735-736 https://doi.org/10.2214/ajr.140.4.735
  3. Rodriguez-Hermosa JI, Codina-Cazador A, Maroto-Genover A, Puig-Alcantara J, Sirvent-Calvera JM, Garsot-Savall E, et al. Obturator hernia: clinical analysis of 16 cases and algorithm for its diagnosis and treatment. Hernia 2008;12:289-297 https://doi.org/10.1007/s10029-007-0328-y
  4. Gray SW, Skandalakis JE, Soria RE, Rowe JS Jr. Strangulated obturator hernia. Surgery 1974;75:20-27
  5. Pandey R, Maqbool A, Jayachandran N. Obturator hernia: a diagnostic challenge. Hernia 2009;13:97-99 https://doi.org/10.1007/s10029-008-0406-9
  6. Yokoyama Y, Yamaguchi A, Isogai M, Hori A, Kaneoka Y. Thirtysix cases of obturator hernia: does computed tomography contribute to postoperative outcome? World J Surg 1999;23:214-217 https://doi.org/10.1007/PL00013176
  7. Lo CY, Lorentz TG, Lau PW. Obturator hernia presenting as small bowel obstruction. Am J Surg 1994;167:396-398 https://doi.org/10.1016/0002-9610(94)90123-6
  8. Hannington-Kiff JG. Absent thigh adductor reflex in obturator hernia. Lancet 1980;1:180
  9. Meziane MA, Fishman EK, Siegelman SS. Computed tomographic diagnosis of obturator foramen hernia. Gastointest Radiol 1983;8: 375-377 https://doi.org/10.1007/BF01948155
  10. Haraguchi M, Matsuo S, Kanetaka K, Tokai H, Azuma T, Yamaguchi S, et al. Obturator hernia in an ageing society. Ann Cad Med Singapore 2007;36:413-415