Leg Pain-An Unexpected Twist.

Autor: Gupta R; Department of Emergency Medicine, Cooper University Hospital, Camden, New Jersey. Electronic address: gupta-rahul@cooperhealth.edu., Gaines C; Cooper Medical School of Rowan University, Camden, New Jersey., Ginty C; Department of Emergency Medicine, Cooper University Hospital, Camden, New Jersey.
Jazyk: angličtina
Zdroj: The Journal of emergency medicine [J Emerg Med] 2024 Nov; Vol. 67 (5), pp. e442-e445. Date of Electronic Publication: 2024 Aug 03.
DOI: 10.1016/j.jemermed.2024.07.017
Abstrakt: Background: Obturator hernia is a rare condition, often presenting with non-specific symptoms, such as thigh pain, groin pain, nausea, or vomiting. Obturator hernias are most common in thin, elderly women. Oftentimes, they are diagnosed late in the disease course resulting in complications and high morbidity and mortality.
Case Report: We present the case of a 75-year-old female who presented with right thigh pain with no other symptoms. After computed tomography (CT) of the abdomen/pelvis, the patient was found to have an incarcerated obturator hernia complicated by a small bowel obstruction, ultimately requiring urgent surgical intervention. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Given the very general symptoms associated with the condition, the diagnosis of obturator hernia can easily be missed, leading to a delayed diagnosis, more complications, and a higher morbidity and mortality rate. Due to the risk associated with a delayed diagnosis, it is important for emergency physicians to maintain a high clinical suspicion for the diagnosis.
Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2024 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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