Obturator hernia (the little old lady's hernia) diagnosed via computed tomography: a case report.
| Autor: | Bohara S; Departments of General and Gastrointestinal Surgery., Karki S; Spinal Injury Rehabilitation Center, Kavre, Nepal., Gautam A; Nepalese Army Institute of Health Sciences, Kathmandu., Regmi BU; Jibjibe Primary Health Care Center, Rasuwa., Rimal S; Chitwan Medical College, Bharatpur., Khadka L; Patan Academy of Health Science, Patan., Pokharel A; Nepalese Army Institute of Health Sciences, Kathmandu., Gurung B; Radiology, Nepal Mediciti Hospital, Lalitpur., Rawal SB; Departments of General and Gastrointestinal Surgery. |
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| Jazyk: | angličtina |
| Zdroj: | Annals of medicine and surgery (2012) [Ann Med Surg (Lond)] 2023 Apr 10; Vol. 85 (4), pp. 1282-1285. Date of Electronic Publication: 2023 Apr 10 (Print Publication: 2023). |
| DOI: | 10.1097/MS9.0000000000000578 |
| Abstrakt: | Obturator hernia is an infrequent clinical entity of abdominal wall hernia, accounting for an incidence rate ranging from 0.073 to 2.2% of all hernias and being responsible for 0.2-1.6% of all cases of mechanical intestinal obstruction. The computed tomography (CT) scan, as an imaging modality, is critical in improving the diagnostic rate of obturator hernia. Case Presentation: The authors herein report an 87-year-old thin male patient with a known history of chronic obstructive pulmonary disease who presenting with complaints of abdominal pain for 3 days and constipation for 2 days, as well as one episode of vomiting without any features of peritoneal irritation, which was diagnosed early as a right-sided obturator hernia via CT and managed with exploratory laparotomy with hernia reduction and polypropylene mesh repair. Discussion: Obturator hernia is a rare surgical phenomenon with a varied clinical spectrum, ranging from asymptomatic to presenting as intestinal obstruction. The CT scan plays a critical role in the detection of obturator hernias, which ameliorates the possible significant postoperative morbidity and mortality. Conclusion: This report demonstrates that a high index of suspicion combined with CT imaging aids in early diagnosis and management, thus overcoming the reluctant morbidity. Competing Interests: All the authors declare that they have no conflicts of interest. (Copyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc.) |
| Databáze: | MEDLINE |
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