Strangulated obturator hernia: a case report with literature review.
CT scan
Hernia
bowel obstruction
obturator foramen
Journal
The Pan African medical journal
ISSN: 1937-8688
Titre abrégé: Pan Afr Med J
Pays: Uganda
ID NLM: 101517926
Informations de publication
Date de publication:
2019
2019
Historique:
received:
14
01
2018
accepted:
29
11
2018
entrez:
16
7
2019
pubmed:
16
7
2019
medline:
25
7
2019
Statut:
epublish
Résumé
Obturator hernia is rare. It occurs when part of the pelvic contents protrude through the obturator foramen. It is a diagnostic challenge in the emergency department since the signs and symptoms are non-specific. It often occurs in elderly, emaciated and chronically ill women. The clinical picture include intestinal obstruction with abdominal pain, nausea and vomiting. The treatment is only surgical. Delayed diagnosis of this condition usually leads to a high mortality rate. We report the case of an 83-year-old woman with a strangulated obturator hernia. The hernia was discovered early by computed tomography and was treated by emergency laparotomy. We emphasize on the rule of CT scan to establishing a prompt preoperative diagnosis of an obturator hernia, appropriate planning of surgical intervention and thus optimizing the outcome.
Identifiants
pubmed: 31303916
doi: 10.11604/pamj.2019.32.144.14846
pii: PAMJ-32-144
pmc: PMC6607289
doi:
Types de publication
Case Reports
Journal Article
Review
Langues
eng
Pagination
144Déclaration de conflit d'intérêts
The authors declare no competing interests.
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