Peer-reviewed veterinary case report
Repeated obturator hernia in woman with kidney cyst disease
By Okumura K et al.·2026·Nephrology Department, Japan·View original on Europe PMC →
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Original publication title: Recurrent obturator hernia in a patient with autosomal dominant polycystic kidney disease undergoing peritoneal dialysis: a case report.
Plain-English summary
A 69-year-old woman with a genetic condition called autosomal dominant polycystic kidney disease (ADPKD), which causes her kidneys to become enlarged, was undergoing a treatment called peritoneal dialysis (PD) when she developed a rare type of hernia known as an obturator hernia. This condition is more common in older, thin women and can be caused by factors like increased pressure in the abdomen. After her first hernia was treated with surgery, she experienced two more hernias on the opposite side within three months. The combination of her enlarged organs and the fluid used in her dialysis likely increased the pressure in her abdomen, making it easier for the hernias to come back. The treatment worked to repair the hernias, but the risk of recurrence remained due to her underlying conditions.
Abstract
Obturator hernia, a rare condition that accounts for only 0.07-1% of all hernias, typically occurs in older adult, thin, multiparous women owing to weakening of the obturator membrane and increased intra-abdominal pressure. Conditions such as chronic constipation, chronic obstructive pulmonary disease, ascites, peritoneal dialysis (PD), and autosomal dominant polycystic kidney disease (ADPKD) are considered risk factors for an obturator hernia. Diagnosis is often delayed because of nonspecific symptoms, and computed tomography imaging is essential for early detection. We report the case of a 69-year-old woman with ADPKD undergoing PD who developed a right-sided obturator hernia, followed by contralateral recurrences within 3 months. The initial and recurrent hernias were managed with open surgical repair using simple suture techniques. The patient's enlarged kidneys and liver, combined with dialysate fluid, may have contributed to sustained elevated intra-abdominal pressure, increasing the risk for hernia recurrence. This case highlights the unique combination of ADPKD and PD as potential contributors to obturator hernia recurrence.
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Search related cases →Original publication on Europe PMC: https://europepmc.org/article/MED/41692931