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

TitleSmall bowel obstruction as a result of an obturator hernia: a rare cause and a challenging diagnosis.
Publication TypeJournal Article
Year of Publication2018
AuthorsPavlidis, E., Kosmidis C., Sapalidis K., Tsakalidis A., Giannakidis D., Rafailidis V., Koimtzis G., & Kesisoglou I.
JournalJ Surg Case Rep
Volume2018
Issue7
Paginationrjy161
Date Published2018 Jul
ISSN2042-8812
Abstract

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.

DOI10.1093/jscr/rjy161
Alternate JournalJ Surg Case Rep
PubMed ID29992011
PubMed Central IDPMC6030978

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