A case of the male obturator hernia restored by direct kugel patch^®

Abstract

An 81-year-old man was transported to our hospital, because he was aware of an incongruity at the back of his waist and it gradually increased and was presented with abdominal pain. A simple CT showed small intestinal expansion in the pelvis and an obturator hernia. We made a diagnosis of small intestine obstruction due to the obturator hernia impaction. His symptoms disappeared after the CT, and after performing the enhanced CT, the obturator hernia also disappeared. Enhanced effects of the small intestinal wall were sufficient and even without findings to suspect necrosis, we planned an operation for thirty days later. The patient underwent surgical hernia repair by the groin method with a Direct Kugel Patch, and he was discharged on the third postoperative day. One year has past post-operation without recurrence.
This case developed in a man and we experienced one case of obturator hernia that traced a rare course that displayed a natural reduction. Because it seemed that surgical repair using a Direct Kugel Patch^® in useful, we add it here and report on the relevant literature.