학술논문

Post-operative Femoral Abscess Formation in an Incarcerated Obturator Hernia—A Case Report— / 閉鎖孔ヘルニア嵌頓術後遺残膿瘍の1例
Document Type
Journal Article
Source
日本臨床外科学会雑誌 / Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association). 2020, 81(11):2362
Subject
edema
femoral abscess
obturator hernia
大腿部膿瘍
浮腫
閉鎖孔ヘルニア
Language
Japanese
ISSN
1345-2843
1882-5133
Abstract
We found a Richter incarcerated obturator hernia and partially resected a necrotic and perforated ileum. Due to severe inflammation, the hernial sac was not excised and the obturator foramen was not sutured ; therefore, the fallopian tube and mesovarium were sewn onto the hernia porta. On postoperative day 11, the patient complained of fever and right lower extremity edema. CT revealed an abscess from the right obturator foramen to the pelvic cavity ; therefore, incision and drainage of the right thigh were performed under ultrasound guidance. The abscess diminished and lower extremity edema also improved. Here, we report a rare case of femoral abscess characterized by lower extremity edema after the surgery for incarcerated obturator hernia.