{"id":2612,"date":"2026-09-08T11:13:01","date_gmt":"2026-09-08T02:13:01","guid":{"rendered":"http:\/\/www.med.miyazaki-u.ac.jp\/home\/dhmao\/?p=2612"},"modified":"2026-09-08T11:13:02","modified_gmt":"2026-09-08T02:13:02","slug":"surgical-case-reports%ef%bc%9afatal-hyperkalemia-following-reduction-of-a-strangulated-obturator-hernia-a-pitfall-in-assessing-bowel-viability","status":"publish","type":"post","link":"http:\/\/www.med.miyazaki-u.ac.jp\/home\/dhmao\/2026\/09\/08\/2612\/","title":{"rendered":"Surgical Case Reports\uff1aFatal Hyperkalemia Following Reduction of a Strangulated Obturator Hernia: A Pitfall in Assessing Bowel Viability"},"content":{"rendered":"\n<p>\u9ad8\u30ab\u30ea\u30a6\u30e0\u8840\u75c7\u3067\u306f\u3001\u5fc3\u96fb\u56f3\u4e0a\u3001\u91cd\u75c7\u5316\u306b\u4f34\u3063\u3066QRS\u5e45\u304c\u8457\u660e\u306b\u5ef6\u9577\u3057\u3001\u30b5\u30a4\u30f3\u30ab\u30fc\u30d6\u69d8\u6ce2\u5f62\uff08sine-wave pattern\uff09\u3092\u5448\u3059\u308b\u3053\u3068\u304c\u77e5\u3089\u308c\u3066\u3044\u307e\u3059\u3002\u6559\u79d1\u66f8\u3067\u306f\u77e5\u3063\u3066\u3044\u307e\u3057\u305f\u304c\u3001\u5b9f\u969b\u306e\u81e8\u5e8a\u73fe\u5834\u3067\u76ee\u306b\u3057\u305f\u306e\u306f\u521d\u3081\u3066\u3067\u3057\u305f\u3002\u3053\u306e\u3068\u304d\u306e\u8840\u6e05\u30ab\u30ea\u30a6\u30e0\u5024\u306f8.5 mmol\/L\u3067\u3057\u305f\u3002<\/p>\n\n\n\n<p>\u79c1\u304c\u975e\u5e38\u52e4\u3067\u52e4\u52d9\u3059\u308b\u75c5\u9662\u3067\u7d4c\u9a13\u3057\u305f\u75c7\u4f8b\u3067\u3059\u3002\u6025\u5909\u30b3\u30fc\u30eb\u3092\u53d7\u3051\u3066\u75c5\u5ba4\u3078\u99c6\u3051\u3064\u3051\u308b\u3068\u3001\u60a3\u8005\u3055\u3093\u306f\u3059\u3067\u306b\u610f\u8b58\u3092\u5931\u3063\u3066\u304a\u308a\u3001\u76f4\u3061\u306b\u5fc3\u80ba\u8607\u751f\u3092\u958b\u59cb\u3057\u307e\u3057\u305f\u3002\u60a3\u8005\u3055\u3093\u306f\u5f53\u65e5\u3001\u5d4c\u9813\u3057\u305f\u9589\u9396\u5b54\u30d8\u30eb\u30cb\u30a2\u306b\u5bfe\u3057\u3066\u7528\u624b\u7684\u9084\u7d0d\u3092\u53d7\u3051\u3001\u305d\u306e\u5f8c\u3001\u7d4c\u904e\u89b3\u5bdf\u4e2d\u3067\u3057\u305f\u3002<\/p>\n\n\n\n<p>\u7528\u624b\u7684\u9084\u7d0d\u3068\u9ad8\u30ab\u30ea\u30a6\u30e0\u8840\u75c7\u3068\u306e\u56e0\u679c\u95a2\u4fc2\u3092\u76f4\u63a5\u8a3c\u660e\u3059\u308b\u3053\u3068\u306f\u3067\u304d\u307e\u305b\u3093\u3067\u3057\u305f\u304c\u3001\u7d4c\u904e\u304b\u3089\u3001\u865a\u8840\u8178\u7ba1\u306e\u518d\u704c\u6d41\u306b\u4f34\u3046\u9ad8\u30ab\u30ea\u30a6\u30e0\u8840\u75c7\u306e\u53ef\u80fd\u6027\u3092\u8003\u616e\u3059\u308b\u5fc5\u8981\u304c\u3042\u308b\u75c7\u4f8b\u3067\u3057\u305f\u3002\u5d4c\u9813\u30d8\u30eb\u30cb\u30a2\u3092\u7528\u624b\u7684\u306b\u9084\u7d0d\u3057\u305f\u5f8c\u3001\u9020\u5f71CT\u3067\u307f\u3089\u308c\u308b\u8178\u7ba1\u58c1\u306e\u9020\u5f71\u52b9\u679c\u3092\u3069\u306e\u3088\u3046\u306b\u89e3\u91c8\u3057\u3001\u305d\u306e\u5f8c\u306e\u8178\u7ba1\u969c\u5bb3\u3084\u5168\u8eab\u3078\u306e\u5f71\u97ff\u3092\u3069\u306e\u3088\u3046\u306b\u8a55\u4fa1\u3059\u3079\u304d\u304b\u3092\u8003\u3048\u308b\u4e0a\u3067\u3082\u3001\u793a\u5506\u306b\u5bcc\u3080\u75c7\u4f8b\u3067\u3057\u305f\u3002<\/p>\n\n\n\n<p><a href=\"https:\/\/www.jstage.jst.go.jp\/article\/scrj\/12\/1\/12_cr.26-0515\/_html\/-char\/ja\">https:\/\/www.jstage.jst.go.jp\/article\/scrj\/12\/1\/12_cr.26-0515\/_html\/-char\/ja<\/a><\/p>\n\n\n\n<div class=\"wp-block-file\"><object class=\"wp-block-file__embed\" data=\"http:\/\/www.med.miyazaki-u.ac.jp\/home\/dhmao\/files\/2026\/09\/12_cr.26-0515.pdf\" type=\"application\/pdf\" style=\"width:100%;height:600px\" aria-label=\"12_cr.26-0515\u306e\u57cb\u3081\u8fbc\u307f\u3002\"><\/object><a id=\"wp-block-file--media-d2b8e354-5b9f-422f-aa02-6c7ea60aec46\" href=\"http:\/\/www.med.miyazaki-u.ac.jp\/home\/dhmao\/files\/2026\/09\/12_cr.26-0515.pdf\">12_cr.26-0515<\/a><a href=\"http:\/\/www.med.miyazaki-u.ac.jp\/home\/dhmao\/files\/2026\/09\/12_cr.26-0515.pdf\" class=\"wp-block-file__button\" download aria-describedby=\"wp-block-file--media-d2b8e354-5b9f-422f-aa02-6c7ea60aec46\">\u30c0\u30a6\u30f3\u30ed\u30fc\u30c9<\/a><\/div>\n\n\n\n<p><\/p>\n\n\n\n<p>\u201cFatal Hyperkalemia Following Reduction of a Strangulated Obturator Hernia: A Pitfall in Assessing Bowel Viability\u201d<br>Takanori Kinashi, Toshihiro Tsuruda<br>Surgical Case Reports (2026)<br>DOI: <a href=\"https:\/\/www.jstage.jst.go.jp\/article\/scrj\/12\/1\/12_cr.26-0515\/_html\/-char\/ja\">10.70352\/scrj.cr.26-0515<\/a><\/p>\n\n\n\n<p>\u672c\u8ad6\u6587\u306f\u30aa\u30fc\u30d7\u30f3\u30a2\u30af\u30bb\u30b9\u8ad6\u6587\u3067\u3059\u3002<br>\u00a9 2026 The Author(s). Published by Japan Surgical Society. \u672c\u8ad6\u6587\u306f Creative Commons Attribution 4.0 International License\uff08CC BY 4.0\uff09\u306b\u57fa\u3065\u304d\u516c\u958b\u3055\u308c\u3066\u304a\u308a\u3001\u9069\u5207\u306a\u51fa\u5178\u3092\u660e\u8a18\u3059\u308b\u3053\u3068\u306b\u3088\u308a\u3001\u5229\u7528\u30fb\u518d\u914d\u5e03\u304c\u53ef\u80fd\u3067\u3059\u3002<\/p>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u9ad8\u30ab\u30ea\u30a6\u30e0\u8840\u75c7\u3067\u306f\u3001\u5fc3\u96fb\u56f3\u4e0a\u3001\u91cd\u75c7\u5316\u306b\u4f34\u3063\u3066QRS\u5e45\u304c\u8457\u660e\u306b\u5ef6\u9577\u3057\u3001\u30b5\u30a4\u30f3\u30ab\u30fc\u30d6\u69d8\u6ce2\u5f62\uff08sine-wave pattern\uff09\u3092\u5448\u3059\u308b\u3053\u3068\u304c\u77e5\u3089\u308c\u3066\u3044\u307e\u3059\u3002\u6559\u79d1\u66f8\u3067\u306f\u77e5\u3063\u3066\u3044\u307e\u3057\u305f\u304c\u3001\u5b9f\u969b\u306e\u81e8\u5e8a\u73fe\u5834\u3067\u76ee\u306b\u3057\u305f\u306e\u306f\u521d\u3081\u3066\u3067\u3057 &hellip; <\/p>\n<p class=\"link-more\"><a href=\"http:\/\/www.med.miyazaki-u.ac.jp\/home\/dhmao\/2026\/09\/08\/2612\/\" class=\"more-link\">Continue reading<span class=\"screen-reader-text\"> &#8220;Surgical Case Reports\uff1aFatal Hyperkalemia Following Reduction of a Strangulated Obturator Hernia: A Pitfall in Assessing Bowel Viability&#8221;<\/span><\/a><\/p>\n","protected":false},"author":332,"featured_media":2614,"comment_status":"closed","ping_status":"open","sticky":true,"template":"","format":"standard","meta":{"_mi_skip_tracking":false},"categories":[10,4],"tags":[],"_links":{"self":[{"href":"http:\/\/www.med.miyazaki-u.ac.jp\/home\/dhmao\/wp-json\/wp\/v2\/posts\/2612"}],"collection":[{"href":"http:\/\/www.med.miyazaki-u.ac.jp\/home\/dhmao\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.med.miyazaki-u.ac.jp\/home\/dhmao\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.med.miyazaki-u.ac.jp\/home\/dhmao\/wp-json\/wp\/v2\/users\/332"}],"replies":[{"embeddable":true,"href":"http:\/\/www.med.miyazaki-u.ac.jp\/home\/dhmao\/wp-json\/wp\/v2\/comments?post=2612"}],"version-history":[{"count":5,"href":"http:\/\/www.med.miyazaki-u.ac.jp\/home\/dhmao\/wp-json\/wp\/v2\/posts\/2612\/revisions"}],"predecessor-version":[{"id":2622,"href":"http:\/\/www.med.miyazaki-u.ac.jp\/home\/dhmao\/wp-json\/wp\/v2\/posts\/2612\/revisions\/2622"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.med.miyazaki-u.ac.jp\/home\/dhmao\/wp-json\/wp\/v2\/media\/2614"}],"wp:attachment":[{"href":"http:\/\/www.med.miyazaki-u.ac.jp\/home\/dhmao\/wp-json\/wp\/v2\/media?parent=2612"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.med.miyazaki-u.ac.jp\/home\/dhmao\/wp-json\/wp\/v2\/categories?post=2612"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.med.miyazaki-u.ac.jp\/home\/dhmao\/wp-json\/wp\/v2\/tags?post=2612"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}