非代償性肝硬変と心不全を伴う成人交通性陰嚢水腫に対して吊り上げ式LPEC 法を施行した1例

We report Laparoscopic percutaneous extraperitoneal closure（LPEC）by lifting abdominal wall is safe and feasible for an adult communicating hydrocele with decompensated cirrhosis and heart failure. The patient was a７1-year-old man with communicating hydrocele. He has been treated for several years for alcoholic liver cirrhosis, diabetes and sick sinus syndrome. Preoperative laboratory examination showed a decrease in platelet count, liver dysfunction, hypoxemia, restrictive impairment and heart failure. Enhanced pelvic computed tomography scan revealed a continuous low density area in the right inguinal region from the scrotum. Outside of the right inferior epigastric artery and vein, the abdominal cavity and scrotum were communicated. Thus, right communicating hydrocele was diagnosed. To avoid complications due to pneumoperitoneum, LPEC with lifting abdominal wall was performed. There were no intra-and post-operative complications, and there has been no recurrence.

四国医学雑誌 : http://www.tokushima-u.ac.jp/med/research/shikoku_acta_medica.html