Obturator Hernia: The “Little Old Lady's Hernia”

Tsai, Ming-Tse; Wu, Jiann‐Ming; Lien, Wan‐Ching

doi:10.1016/j.jmu.2014.04.004

Cited by 7 publications

(7 citation statements)

References 6 publications

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“…5 This is frequently seen in underweight older women (70-90 years old); thus, the obturator hernia has been nicknamed the 'Little Old Lady's Hernia. 5,10 The most common locations of an obturator hernia are between the internal and external obturator muscles, between the superior and medial fasciculi of the external muscles, and between the pectineus and external obturator muscles. 5 Due to the nonspecific signs and symptoms, obturator hernia is difficult to diagnose¹.The preoperative diagnosis rate is reported as only 10-30%.…”

Section: Discussionmentioning

confidence: 99%

Richter's type of obturator hernia with Howship Romberg sign: a case report

et al. 2021

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Obturator hernia is a rare type of pelvic hernia in which intraperitoneal contents protrude through the obturator foramen and is most commonly found in females. It accounts for about 1% of all abdominal hernias and possesses a great diagnostic challenge due to the non-specific symptoms and meagre clinical signs. Hereby we report a case of obturator hernia in an nonagenarian emaciated fragile old lady who presented with features of acute Intestinal obstruction and was diagnosed using computed tomography as right sided obturator hernia and eventually was taken up for emergency laparotomy. The herniated segment was resected and anastomosis was done with primary closure of the defect. Postoperative period was uneventful and the patient was discharged on postoperative day 7.

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Section: Discussionmentioning

confidence: 99%

Richter's type of obturator hernia with Howship Romberg sign: a case report

et al. 2021

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“…1 An obturator hernia arises when intraperitoneal or extraperitoneal contents protrude through the obturator canal. 2 Obturator hernia was first identified in 1724, and it is estimated to account for 0.05%–0.14% of all hernias and 0.2%–1.6% of all small bowel obstructions. 3 This uncommon hernia is frequently observed in thin, elderly, multiparous women.…”

Section: Introductionmentioning

confidence: 99%

“…Obturator hernia is a rare type of abdominal hernia that is a significant cause of morbidity and mortality, particularly in the elderly 1 . An obturator hernia arises when intraperitoneal or extraperitoneal contents protrude through the obturator canal 2 . Obturator hernia was first identified in 1724, and it is estimated to account for 0.05%–0.14% of all hernias and 0.2%–1.6% of all small bowel obstructions 3 .…”

Section: Introductionmentioning

confidence: 99%

A rare case of left‐sided obturator hernia diagnosed by computed tomography

Aryal

Keshari

Pandey

et al. 2023

Clinical Case Reports

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“…An obturator hernia (OH) is the protrusion of either an intraperitoneal or an extraperitoneal organ or tissue through the obturator canal [1]. The development of ossification of the ischium and pubis occurs between the 4th and 5th months of gestation, so perhaps it can be assumed that potential bone formation to fill the obturator foramen stops during this period.…”

Section: Introduction 11 Anatomy and Embryogenesismentioning

confidence: 99%

Management of Obturator Hernia

Grassi¹,

Banchini²,

Bonfili³

et al. 2022

Hernia Surgery

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The obturator hernia is a rare pelvic hernia that often presents with symptoms of bowel obstruction. Obturator hernia corresponds to 0.5–1.4% of all abdominal hernias. Entrapment of an intestinal segment within the obturator orifice, most often the ileum, less frequently Meckel’s diverticulum or omentum, can cause intestinal obstruction. The non-specific presenting symptoms make the diagnosis of this condition often unclear. Females are 6–9 times more likely than men to be subject to the pathology, mostly occurring in a multiparous, emaciated, elderly woman so it is also called “the little old lady’s hernia.” Risk factors such as chronic constipation, chronic obstructive pulmonary disease, ascites, kyphoscoliosis, and multiparty, can predispose patients to herniation. A sign of inconstant presentation may be the presence of a palpable mass or pain radiating from the inner thigh and knee—known as Howship–Romberg sign—but it could be misleading when confused with symptoms of gonarthrosis or lumbar vertebral disc pathology. CT scan of the abdomen and pelvis has been found to be the gold standard for preoperative diagnosis because of its superior sensitivity and accuracy with respect to other radiological exams. The only possible treatment for this pathology is surgery, and management depends on early diagnosis.

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Obturator Hernia: The “Little Old Lady's Hernia”

Cited by 7 publications

References 6 publications

Richter's type of obturator hernia with Howship Romberg sign: a case report

Richter's type of obturator hernia with Howship Romberg sign: a case report

A rare case of left‐sided obturator hernia diagnosed by computed tomography

Management of Obturator Hernia

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