2019 Volume 69 Issue 2 Pages 143-147
An 85 year-old female patient presented to our hospital emergency department for pneumonia and heart failure. She was transferred to a long-term care facility, but the day after transfer, her abdominal pain increased and she returned to our hospital. She was diagnosed with bilateral strangulated obturator hernia, and underwent ultrasound guided reduction of the incarceration. Ten days after her readmission, she underwent an elective laparoscopic hernia repair. The postoperative course was good, and she was transferred to a long-term care facility on postoperative day 7.
Obturator hernia is common in elderly people, and many of these patients have preexisting disease, increasing their risk of perioperative complication. We report a case in which we avoided emergency surgery by performing ultrasound guided reduction, and performing reliable treatment by elective laparoscopic surgery.
