湯浅 肇¹, 後藤 幸一¹, 若林 宏和¹, 尾崎 一², 荒谷 浩一², 吉村 誠³, 多々見 光仁³, 綿引 元³

Hajime YUASA¹, Kouichi GOTO¹, Hirokazu WAKABAYASHI¹, Hajime OZAKI², Kouichi ARATANI², Makoto YOSHIMURA³, Mitsuhito TATAMI³, Hajime WATAHIKI³

¹聖隷三方原病院総合診療内科, ²聖隷三方原病院検査科, ³聖隷三方原病院消化器科

¹Department of Internal Medicine, The Seirei-Mikatabara Hospital, ²Department Central Laboratory, The Seirei-Mikatabara Hospital, ³Department of Gastroenterology, The Seirei-Mikatabara Hospital

キーワード : Ultrasonography, Obturator hernia, Ultrasonographic technique

We treated four patients with obturator hernia in which the orifice was visualized with ultrasonography. By analyzing these cases, we developed a screening method to detect this type of hernia. Sagittal scan of the inguinal region with the midpoint between the pubic symphysis and femoral vessels reveals the obturator artery and vein below the pubic bone, and fascia of the obturator muscle appears as a high echo caudal extension. Transverse scanning two fingers widths below the line from the puic tubercle to the major trochanter reveals the femoral muscle group. The combination of these scans can be used to detect hernias of the intestines.