Laparoscopic obturator hernia repair in an adolescent

Sorabella, Robert A.; Miniati, Douglas N.; Brandt, Mary L.

doi:10.1016/j.jpedsurg.2005.08.046

Cited by 11 publications

(5 citation statements)

References 9 publications

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“…More than 90% of patients with obturator hernia are admitted to the hospital with acute intestinal obstruction, presenting with abdominal pain, nausea, and vomiting [7]. The Howship-Romberg sign pain along the medial aspect of the thigh to the knee due to compression of the anterior branch of the obturator nerve by the contents of the hernia is present in 50% of patients [8, 9]. However, the sign is commonly mistaken for neuromuscular pain, as joint pain is common in elderly patients and is overlooked.…”

Section: Discussionmentioning

confidence: 99%

Obturator Hernia: A Rare Case of Acute Mechanical Intestinal Obstruction

Aydın

Yücel

Pergel

et al. 2013

Case Reports in Surgery

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Section: Discussionmentioning

confidence: 99%

Obturator Hernia: A Rare Case of Acute Mechanical Intestinal Obstruction

Aydın

Yücel

Pergel

et al. 2013

Case Reports in Surgery

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“…In its anterior superior part, the obturator membrane is perforated by the obturator artery, vein, and nerve which travel between the internal and external obturator muscles. A hernia sac may develop through this defect and an organ, most commonly ileum and sometimes the omentum, protrudes into it [ 5 , 6 ]. Herniation often occurs in the right side because the sigmoid colon which covers the left obturator foramen may prevent herniation [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

Left sided Richter type obturator hernia causing intestinal obstruction: A case report

Ayoub

Mahli

Dabbagh

et al. 2018

Annals of Medicine and Surgery

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IntroductionAlthough relatively rare, an obturator hernia is a significant cause of intestinal obstruction. It usually occurs in emaciated elderly females. Computed tomography is the imaging modality of choice to diagnose obturator hernias.Case reportIn this report we present a case of an elderly female who presented to the emergency department with features suggesting bowel obstruction. The patient was admitted to the hospital and was initially managed conservatively. Two days later the patient underwent an exploratory laparotomy and was diagnosed with a left sided Richter type obturator hernia. The hernia was successfully reduced and the necrotic bowel was resected with end to end anastomosis.DiscussionAn obturator hernia is a rare type of abdominal hernias which often occurs in very thin old females. Patients with obturator hernias usually present with symptoms of acute or intermittent small bowel obstruction. Mild symptoms without abdominal pain may be due to incomplete obstruction or Richter type hernia. Computed tomography is considered the gold standard diagnostic modality for obturator hernias. An early surgical intervention is the treatment of choice.ConclusionThe clinical diagnosis of an obturator hernia is often difficult due to its nonspecific symptoms and infrequent signs. Yet early diagnosis is mandatory because its delay contributes to bowel necrosis and to the poor prognosis in these patients. Surgery remains the only effective management of this condition.

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“…With this sign, patients characteristically complain of pain along the medial surface of the thigh that may radiate to the knee and hip joints. 5,6 The third finding, observed in 30% of patients, is a history of repeated episodes of bowel obstruction that pass quickly and without intervention. This is likely due to periodic incarceration of the hernia sac in the obturator canal.…”

Section: Discussionmentioning

confidence: 99%

Obstructed obturator hernia containing Meckel’s diverticulum: a case report

2018

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An obturator hernia is a rare type of hernia and unusual cause of acute intestinal obstruction. The combination of diagnostic difficulty and high mortality rates make obturator hernia a serious diagnosis that can be potentially overlooked. We present a case of an elderly multiparous woman presented at the emergency room with complaints of abdominal distension, pain, vomiting and constipation for the last 4 days. On examination abdominal tenderness with distension was noted. Hernial orifices were normal. A CT and MRI reports were suggestive of right obstructed obturator hernia. Patient underwent emergency exploratory laparotomy. The hernial sac contained a narrow neck Meckel's diverticulum with perforation of proximal ileum. Resection of perforated segment along with Meckel's diverticulum was done and end to end ileo-ileal anastomosis was performed. Obturator foramen was closed with simple polypropylene sutures. CT/MRI scan is of immense help in preoperative diagnosis. Once the diagnosis is suspected or confirmed, patient should be taken for surgery as early as possible.

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Laparoscopic obturator hernia repair in an adolescent

Cited by 11 publications

References 9 publications

Obturator Hernia: A Rare Case of Acute Mechanical Intestinal Obstruction

Obturator Hernia: A Rare Case of Acute Mechanical Intestinal Obstruction

Left sided Richter type obturator hernia causing intestinal obstruction: A case report

Obstructed obturator hernia containing Meckel’s diverticulum: a case report

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