Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
Online ISSN : 1882-5133
Print ISSN : 1345-2843
ISSN-L : 1345-2843
Case Reports
Right Femoral Hernia and Right Obturator Hernia Diagnosed by CT Herniography—A Case Report—
Yasuo HAYASHIDANIYoshihiro KURISUShinji AKAGIYoshio YUASATomoko TANAKA
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2014 Volume 75 Issue 3 Pages 851-854

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Abstract
The patient was a 67-year-old woman with a history of surgery for left and right inguinal hernias. She presented to our hospital with chief complaints of epigastric pain, right upper leg pain, and right inguinal swelling. The symptoms had resolved, and the right inguinal swelling was no longer visible at the time of the medical examination. CT herniography was performed, and the patient was diagnosed with a right femoral hernia and a right obturator hernia. The surgery involved the Kugel method, and a Kugel patch (M) was placed covering the obturator canal. CT herniography is a plain pelvic CT that is performed after herniography with the patient in the prone position. It is invasive and requires high technical proficiency. CT herniography is an imaging method that should be considered for inguinal or pelvic hernia that is difficult to diagnose.
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© 2014 Japan Surgical Association
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