Small bowel obstruction as a result of an obturator hernia: a rare cause and a challenging diagnosis.

Autor: Pavlidis E; Third Surgical Department, Aristotle University of Thessaloniki, Medical School, AHEPA University Hospital, Kyriakidi 1, Thessaloniki, Greece., Kosmidis C; Third Surgical Department, Aristotle University of Thessaloniki, Medical School, AHEPA University Hospital, Kyriakidi 1, Thessaloniki, Greece., Sapalidis K; Third Surgical Department, Aristotle University of Thessaloniki, Medical School, AHEPA University Hospital, Kyriakidi 1, Thessaloniki, Greece., Tsakalidis A; Third Surgical Department, Aristotle University of Thessaloniki, Medical School, AHEPA University Hospital, Kyriakidi 1, Thessaloniki, Greece., Giannakidis D; Third Surgical Department, Aristotle University of Thessaloniki, Medical School, AHEPA University Hospital, Kyriakidi 1, Thessaloniki, Greece., Rafailidis V; Department of Radiology, Aristotle University of Thessaloniki, Medical School, AHEPA University Hospital, Kyriakidi 1, Thessaloniki, Greece., Koimtzis G; Third Surgical Department, Aristotle University of Thessaloniki, Medical School, AHEPA University Hospital, Kyriakidi 1, Thessaloniki, Greece., Kesisoglou I; Third Surgical Department, Aristotle University of Thessaloniki, Medical School, AHEPA University Hospital, Kyriakidi 1, Thessaloniki, Greece.
Jazyk: angličtina
Zdroj: Journal of surgical case reports [J Surg Case Rep] 2018 Jul 03; Vol. 2018 (7), pp. rjy161. Date of Electronic Publication: 2018 Jul 03 (Print Publication: 2018).
DOI: 10.1093/jscr/rjy161
Abstrakt: Obturator hernias are exceedingly rare in surgical routine, constituting 0.073% of all intra-abdominal hernias in the West and 1% in the far East. Commonly known as 'little old lady's hernia', obturator hernias are usually seen in frail, octogenarian multiparous women. This case report discusses an 85-year-old female who had symptoms of acute bowel obstruction; thanks to high degree of clinical suspicion and aided by a computed tomography (CT) of abdomen and pelvis, an incarcerated right obturator hernia was diagnosed preoperatively and treated successfully. Obturator hernia is a rare condition associated with a high rate of morbidity and mortality. CT scan is the most accurate imaging method for pre-operative diagnosis. Early diagnosis and surgical intervention are fundamentals to lead to better outcomes for the patients.
Databáze: MEDLINE
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