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Download Report of a case of strangulated obturator hernia
Obturator hernia is a rare pelvic hernia with relative high morbidity and mortality. The hernia sac passes through the obturator foramen, following the path of the obturator nerves and muscles.
Here we present a typical case of obturator hernia which was diagnosed by spiral CT preoperatively and the emergency operation was performed by: We report the case of an year-old woman with a strangulated obturator hernia.
The hernia was discovered early by computed tomography and was treated by emergency laparotomy. We emphasize on the rule of CT scan to establishing a prompt preoperative diagnosis of an obturator hernia, appropriate planning of surgical intervention and thus Cited by: 3.
OBTURATOR HERNIA: A CASE REPORT H. MOHD. BAHAR1 SUMMARY Obturator hernia is a rare clinical entity usually presenting with strangulation. Preoperative diagnosis is seldom made and this has contributed to a high. mortality. One should suspect a strangulated obturator hernia in an elderly thin.
female patient presenting with vague. Obturator hernia is a rare type Report of a case of strangulated obturator hernia book hernia which accounts for only % of all intra-abdominal hernias and % of small-intestinal obstructions.
A fatal case of strangulated obturator hernia is presented and 49 additional cases from the literature since are reviewed. Obturator hernia is uncommon in women and rare in men. Background. Although obturator hernias make up hernias, strangulated obturator hernias carry the highest mortality rate, ranging from 12% to 70%.
1–4 The obturator hernia is most often the Richter's type, which can be a diagnostic challenge as focal strangulation of the bowel can progress to gangrene with or without overt signs of intestinal obstruction. 2 5 A high index of Cited by: 5.
Obturator herniae are a rare type of abdominal wall herniae, with an incidence of –1%.1 They have a high mortality rate of up to 40% due to strangulation,2 and patients often present with non-specific symptoms. The clinical presentation varies, depending on the contents of the hernial sac and the degree of herniation.3 High index of suspicion with rapid preoperative diagnosis is by: 2.
Strangulated lt obturator hernia-A case by Dr Ubaid Ur Rehman Muzaffarnagar Sign in to report inappropriate content. Findings are consistent with strangulated left obturator hernia. Obturator hernia.
Obturator hernia also called ‘the skinny old lady hernia’, is an extremely rare type of hernia that occurs as a result of the protrusion of intraperitoneal or extraperitoneal organs or tissues through the obturator canal 1).This is due to the high incidence of these hernias in women in their seventh or eighth decade, who are normally gaunt 2) and it can almost be said to.
Inguinal Hernia Repair Open repair of an indirect inguinal hernia is performed to restore strength to the inguinal floor and prevent the abdominal viscera from entering the inguinal canal. This is a Report of a case of strangulated obturator hernia book male. The patient has a history of multiple abdominal surgeries and opted for an open left inguinal hernial repair with Prolene mesh.
The circulator brought the patient to the operative. Introduction. Obturator herniae are uncommon presentations of abdominal pain, comprising obturator hernia occurs when abdominal contents traverse the obturator foramen.
As this is a small opening in the pelvis, there is an increased propensity for these herniae to get incarcerated and subsequently strangulated obturator hernia. Obturator hernia is a rare type of pelvic hernia which generally occurs in elderly patients with accompanying diseases.
Because it is difficult to diagnose before surgery, the morbidity and mortality rates for obturator hernia are high. The most common symptom is strangulation combined with mechanical intestinal obstruction. PDF | BACKGROUND: Obturator hernia is a rare condition associated with a high morbidity and mortality.
It is an uncommon cause of bowel obstruction | Find, read and cite all the research you. An obturator hernia is exceedingly rare and the diagnosis is usually made at laparotomy for small bowel obstruction. Several methods of dealing with the hernial defect have been described.
Two cases of obturator hernias in nonagenarians are reported and a new, simple and effective method of repairing the hernia by suturing a polypropylene. The obturator hernia is a rare type of hernia that can present a diagnostic challenge for the clinician. We report a case of an year-old woman who presented with a history of right iliac fossa pain, bilious vomiting and diarrhoea.
Non-specific findings on examination and blood tests made the diagnosis difficult, however, a CT scan of her abdomen revealed the site of the obstruction and the.
The authors report a case of an incarcerated obturator hernia in an elderly female with subsequent high-grade small bowel and its successful laparoscopic operative management. A review of the relevant literature was also performed following a search on the online literature databases such as PUBMED and by: 8.
Strangulated Intestinal Obstruction Secondary to a Typical Obturator Hernia: A Case Report with Literature Review Xiaoyan Cai, Xiangyang Song, and Xiujun Cai Department of General Surgery, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Institute of Micro-invasive Surgery of Zhejiang University, Hangzhou, Zhejiang We report on a case of obturator hernia preoperatively diagnosed with computed tomography, and we have experienced eight cases of obturator hernia in the past fourteen years.
Strangulated. Case Report Strangulated Intestinal Obstruction Secondary to a Typical Obturator Hernia: A Case Report with Literature Review Xiaoyan Cai, Xiangyang Song, Xiujun Cai Department of General Surgery, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Institute of Mi.
Case Report: We report a case of small bowel obstruction secondary to a strangulated obturator hernia in an elderly female.
Laparotomy, bowel resection and suture hernia repair was undertaken. A subsequent presentation of small bowel obstruction was due to recurrence of the obturator hernia, however resolved without operative management. Obturator hernia has been diagnosed successfully on barium enema study, with tapering of the distal ileum often visible at the obturator foramen where the loop of ileum enters the hernia sac.
Interestingly, this examination will often elicit the Howship-Romberg sign (6). Strangulated Intestinal Obstruction Secondary to a Typical Obturator Hernia: A Case Report with Literature Review Xiaoyan Cai, Xiangyang Song, Xiujun Cai Department of General Surgery, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Institute of Micro-invasive Surgery of Zhejiang University, Hangzhou, ZhejiangChina.
She was diagnosed with bilateral strangulated obturator hernia, and underwent ultrasound guided reduction of the incarceration. We report a case in which we avoided emergency surgery by. It is not recommended for the repair of strangulated and perforated hernias.
Ligature of the hernia sac is performed with continuous and nonabsorbable sutures and the closure of the foramen effected with biological or synthetic material. Conclusion. The obturator hernia is a rare condition associated with a high rate of morbidity and by: 4.
diagnose obturator hernias before surgery in the early stages of the disease [ ]. e aim of this report was to present the case, accompanied by relevant literature, of a patient with mechanical intestinal obstruction who was diagnosed with obturator hernia using computed tomography. Case Report A -year-oldfemalepatientweighing kgpresentedtothe.
Report of a case of strangulated obturator hernia. [Place of publication not identified]: [publisher not identified], [?] (OCoLC) Material Type: Document, Internet resource: Document Type: Internet Resource, Computer File: All Authors / Contributors: J M Elder.
Introduction. Obturator hernia was first described by Arnaud de Ronsil. It is considered to be rare and accounts for %–% off all hernias  and %–% of all cases of mechanical intestinal obstruction .It is more common in thin, elderly females and has a high mortality rate between 13% and 40% .Rapid evaluation and early surgical intervention can reduce morbidity and mortality.
Addeddate City [Place of publication not identified] External-identifier urn:oclc:record Foldoutcount 0 Identifier cihm_ Obturator hernia is a rare pelvic hernia with incidence of 1%. It's a significant cause of intestinal obstruction in emaciated elderly women.
Delayed diagnosis and surgical intervention contributed to its relatively high morbidity and mortality. We present a typical case of obturator hernia with positive Howship-Romberg sign and Hannington-Kiff.
Transomental hernias are a rare type of internal hernia. We report two cases of successful cases of laparoscopic repair. One required laparotomy due to concern for intestinal viability.
The first patient was a year-old man who presented with abdominal pain and vomiting. He had no history of laparotomy or abdominal injury. Computed tomography suggested small bowel obstruction. Key words: frail elderly; hernia, obturator; pelvic pain introduction Obturator hernia is a rare entity, accounting for % to % of all hernias.1 Bilateral obturator hernias account for only % of all hernias.2 Its incidence Obturator hernia presenting as hip pain: a case report Ping Keung Chan, Tze Pui Ng, Ying Lee Lam.
The obturator hernia is a rare type of internal hernia, in which ab-dominal content protrudes through the obturator fora-men. The symptoms and signs of obturator hernia are nonspecific.
Thus, it may result in high morbidity and mortality if the diagnosis is missed. We present a case of obturator hernia that was very difficult to diagnose correctly. Lumbar hernias are rare conditions and about cases have been reported since the first description by Barbette in Therefore strangulation or incarceration are also exceptionally encountered.
We present a 62 -year-old-man who had strangulated left lumbar hernia and consequent mechanical small-bowel obstruction, alongside with a non strangulated right lumbar hernia. CASE REPORT Coexisting ipsilateral right femoral hernia and incarcerated obturator hernia Toni T Seppälä,1 Mikko Tuuliranta2 1Department of Gastroenterologic Surgery, Central Finland Central Hospital, Jyväskylä, Finland 2Department of Surgery, Central Finland Central Hospital, Jyväskylä, Finland Accepted 3 February To cite: Seppälä TT.
obstructed obturator hernia, managed differently with both open and laparoscopic approaches. We also highlight the difficulty with clinical diagnosis and the use of CT for accurate diagnosis. Case Report Case 1 A year-old woman presented with a 3-day history of colicky abdominal pain associated with bilious vomiting.
Further history showed that. 4 Hartley BE, Davies MS, Bowyer RC. Strangulated appendix in an obturator hernia presenting as gas gangrene of the thigh. Br J Surg ; 5 Green BT, Strangulated obturator hernia: still deadly.
South Med J ;–3. 6 Mantoo SK, Mak K, Tan TJ. Obturator hernia: diagnosis and treatment in the modern era. Singap Med J ;– INTRODUCTION. Obturator hernia is a rare cause of intestinal obstruction and most frequently occurs in elderly, thin and multiparous females [1–3].The incidence of obturator hernias have been reported as –% of all hernias [1, 2].The diagnosis is often delayed due to difficulty in its detection [1–3].In addition, patients with delayed diagnosis often need intestinal resection and.
An year-old woman presented with ileus. Ultrasonography, a computed tomography scan, and small bowel contrast examination showed a Richter-type hernia in her left obturator orifice. Under general anesthesia, laparoscopic surgery with low-pressure (4mmHg) pneumoperitoneum was carried out using a peritoneal needle retractor, and a reduction of the strangulated intestinal loop was Cited by: Obturator hernia is an extremely rare type of abdominal wall hernia occurring mostly in elderly, thin females.
It is characterized by the herniation of intra-abdominal contents through the obturator foramen. Symptoms are often nonspecific, and the patient usually presents with an acute or subacute intestinal obstruction.
A high index of suspicion is needed in such females presenting with. Obturator hernia poses a diagnostic challenge as the signs and symptoms are often nonspecific, which makes a preoperative diagnosis difficult. The mortality rate for patients with an obturator hernia is the highest among all abdominal wall hernias (range 13–40%); this is related to the difficult diagnosis and delayed specific treatment.
We report a case of non-strangulated obturator hernia which was diagnosed by herniography and repaired by a laparoscopic operation.
A year-old woman had sometimes felt numbness extending from the right groin to the right thigh since Ó Journal of Krishna Institute of Medical Sciences University CASE REPORT Obstructed Obturator Hernia: A Diagnostic Dilemma Manish Swarnkar1*, Raghav Jindal1 1Department of Surgery, Jawaharlal Nehru Medical College, Sawangi, Wardha- (Maharashtra) India JKIMSU, Vol.
8, No. 3, July-September ISSN Abstract: Obturator hernia is a rare type of pelvic hernia which.Obturator hernia is a rare type of hernia which accounts for only –% of all intra-abdominal hernias and –% of small-intestinal obstructions.
Because the symptoms are non-specific, the diagnosis is often delayed until laparotomy is performed to treat bowel obstruction.