A case of a male hemodialysis patient who developed an obturator hernia

Abstract

Key words：obturator hernia, male, hemodialysis 〈Abstract〉 This medical case involves a 75-year-old male who had been on hemodialysis since April, 2007 due to chronic renal failure stemming from chronic nephritis. He began experiencing abdominal distension early in July, 2012 and came to the hospital the next day for hemodialysis. Prominent distention of the intestinal tract was detected by plain X-ray of the abdomen and a diagnosis of left obturator hernia was made by plain CT of the abdomen. Hernioplasty was carried out the same day through emergency surgery, and the patient made good post-operative progress. An obturator hernia is a rare disorder that makes up only 0.073％ of all hernias and 0.4％ of all ileus. In addition, the disorder appears most commonly in older, thin women, with men affected in only 5％ of cases. In some instances, the clinical manifestation is mild, and although it is difficult to suspect obturator hernia, early diagnosis and early treatment are important since the disorder has a high fatality rate.

Obturator Hernia in a Patient Undergoing Hemodialysis

“…We conducted a literature review regarding obturator hernia in patients with hemodialysis and peritoneal dialysis. We searched medical databases, including PubMed and the Japan Medical Abstracts Society, and found only eight previously reported cases (Table) (12)(13)(14)(15)(16)(17)(18). Patients undergoing renal replacement therapy tend to be elderly and emaciated and can have an increased intra-abdominal pressure if they suffer from autosomal dominant polycystic kidney disease (ADPKD).…”