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A case of transabdominal preperitoneal repair of obturator bladder hernia diagnosed with prone position computed tomography Yuta KUHARA 1 , Raita YANO 2 , Satoshi HIRAHARA 2 , Haruna KUBOTA 2 , Kenji SHIRAKAWA 2 , Katsunari MIYAMOTO 2 1Department of Surgery, Kure Kyosai Hospital 2Department of Surgery, Hiroshima Memorial Hospital Keyword: 閉鎖孔ヘルニア , 膀胱ヘルニア , 腹臥位CT pp.335-339
Published Date 2023/11/15
DOI https://doi.org/10.11477/mf.4426201092
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 A woman in her sixties was admitted to our hospital with left inguinal swelling, pain in her left upper leg, and pollakiuria. Computed tomography(CT)revealed a left inguinal hernia. A prone position CT was also performed to determine the cause of the patient's left upper leg pain and pollakiuria, revealing a left obturator foramen hernia with a prolapsed bladder. She had a left inguinal hernia and a left obturator bladder hernia. We performed laparoscopic hernia repair. A left obturator hernia with a prolapsed bladder was also discovered during the laparoscopic operation. We safely performed laparoscopic hernia repair after injecting saline into the bladder. The left inguinal swelling, left upper leg pain, and pollakiuria were gone after the surgery. If a deviation from the main complaint was discovered during the preoperative examination, prone position CT may be useful in diagnosing the hernia. Furthermore, determining hernia content and type may help avoid intraoperative organ injury and increase safety.


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電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

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