| Autor: |
Jean-Pierre Marctucci, Mihir M Shah, David Baringer, Kevin El-Hayek, Ashley Valentine |
| Rok vydání: |
2013 |
| Předmět: |
|
| Zdroj: |
International Journal of Case Reports and Images. 4:312 |
| ISSN: |
0976-3198 |
| Popis: |
Introduction: Obturator hernia is a rare form of hernia that tends to occur in elderly emaciated women, and is typically associated with chronic diseases. Delay in clinical presentation and difficulty in diagnosis contribute significantly to the morbidity and mortality of this disease which can approach 13–40%. Treatment is always surgical and in most cases it is performed via an emergent laparotomy. Case Report: We report a case of a 59yearold female who presented with right labial swelling and was diagnosed with an obturator hernia based on history and physical exam. An elective laparoscopic transabdominal preperitoneal (TAPP) approach was used to repair a non strangulated obturator hernia. We highlight the role of a laparoscopic repair and describe the technique used. Conclusion: A high index of suspicion for female patients with vaginal swelling or pain may prevent the eventual morbidity and mortality associated with stage 3 obturator hernia with incarceration. In this case report, we present a case of early detection of stage 1 obturator hernia which was successfully repaired using concepts of a TAPP approach. Outpatient laparoscopic repair of obturator hernia resulted in symptomatic relief at a three week followup. Laparoscopic approach may be useful for the repair of a nonstrangulated obturator hernia, particularly if diagnosed in its early stages. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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