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英文誌(2004-)

Journal of Medical Ultrasonics

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1995 - Vol.22

Vol.22 No.08

Case Report(症例報告)

(0611 - 0615)

術前に診断しえた閉鎖孔ヘルニアの1例
(超音波,CT,MRIの比較検討)

A Case of Obturator Hernia Diagnosed Preoperatively by Ultrasonography, Computed Tomography, and Magnetic Resonance Imaging

吉田 寛1, 吉安 正行1, 橋本 正好1, 恩田 昌彦2

Hiroshi YOSHIDA1, Masayuki YOSHIYASU1, Masayoshi HASHIMOTO1, Masahiko ONDA2

1三菱重工大倉山病院外科, 2日本医科大学付属病院第1外科

1Department of Surgery Mitsubishi Jyuukou Ookurayama Hospital, 2First Department of Surgery Nippon Medical School Hospital

キーワード : Computed tomography, Incarceration, Magnetic resonance imaging, Obturator hernia, Ultrasonography

An 85-year-old woman was admitted to the hospital with a diagnosis of cardiac failure. Abdominal distention and vomiting developed during hospitalization, and the patient was transferred to the surgical ward after a diagnosis of ileus was made. X-ray film of the abdomen showed the presence of ileus; the How-ship-Romberg sign was negative, however. Ultrasonography, computed tomography, and magnetic resonance imaging performed preoperatively all led to a diagnosis of an incarcerated obturator hernia. Surgery was performed to repair a partially incarcerated obturator hernia of the Richter type on the left side. There were no postoperative complications, and the patient recovered smoothly. Because of its simple adiministrative nature, we concluded that of the three preoperative tests used (ultrasonography, computed tomography, and magnetic resonance imaging) ultrasonography is the most useful in the preoperative diagnosis of obturator hernia.