Obturator Hernia – a case report
Keywords:
CT Scan, obturator hernia, Surgical treatmentAbstract
Background: An obturator hernia is a rare cause of an abdominal wall hernia. Obturator hernia as a cause of small bowel obstruction can be difficult to detect. Delayed diagnosis and treatment of this condition usually lead to a high mortality rate.
Case Presentation: We present a case of an 82-year-old lady who presented to the emergency with pain and abdominal distension of 3 days duration. Clinically, she had features of bowel obstruction. Ultrasonography revealed dilated small bowel loops. A contrast-enhanced CT scan of the abdomen and pelvis was obtained which showed a left obturator hernia with features of small bowel obstruction. The patient underwent an emergency exploratory laparotomy which revealed a left obturator hernia with an ileal loop as content. Approximately 40 cm of non-viable distal ileum was resected and also-ileal anastomosis was performed. The post-operative period was uneventful.
Conclusion: Obturator hernia, though rare is an important cause of intestinal obstruction. A high index of clinical suspicion is needed especially in emaciated elderly women who present with intermittent medial thigh pain and features of bowel obstruction. Immediate surgery is a life-saving procedure.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Authors
This work is licensed under a Creative Commons Attribution 4.0 International License.
The author(s) retain the copyright and the full publishing right without restriction under the Creative Commons Attribution 4.0 International License (CC BY 4.0) which allows readers to share (copy and redistribute the material in any medium or format) and adapt (remix, transform, and build upon the material) for any purpose, even commercially, provided the work is properly attributed. (https://creativecommons.org/licenses/by/4.0/).
Author(s) grant the non-exclusive publishing right to the Journal of Karnali Academy of Health Sciences (JKAHS). The publishing rights include the rights to publish, reproduce, distribute, include in indexes or search databases or other media in print or online. The JKAHS may require revisions to the manuscript before acceptance for publication or may choose not to publish it based on the judgement of the editors. Further, JKAHS might retract, withdraw, or publish a correction or other notice after publication, if such publication would be inconsistent with the good publication practices and associated guidelines set forth by the COPE (Committee on Publication Ethics) (https://publicationethics.org/core-practices).
More information about the Creative Commons Attribution 4.0 International License can be found in the webpage of Creative Commons (CC) by following the link provided below: https://creativecommons.org/licenses/by/4.0/