Abstract
We report herein on a 63-year-old-woman with a past history of multiple liver and renal cysts and who was undergoing hemodialysis for chronic renal failure. She visited our ER because of vomiting, when abdominal distention, swelling of the liver and the Howship-Romberg sign were noted. Abdominal CT revealed soft tissue which had invaginated the right obturator foramen, a dilated intestine and retained bowel fluid, so that she was diagnosed as having ileus due to a right obturator hernia and we performed an emergency operation. Intraoperatively, multiple liver and renal cysts obscured the operative view, because of which we simply released the invagination and finished the operation. On the 23rd day after the discharge from the hospital, she noted lower abdominal pain, and visited our ER again. Abdominal CT revealed recurrence of the right obturator hernia and we performed an emergency operation within a day. We took a preperitoneal approach and covered the obturator foramen and the myopectineal orifice with a Kugel Patch. There are few case reports of obturator hernia repair with a Kugel Patch, therefore it may be useful to report this operation for recurrent cases.
