Perforated obturator Littré hernia in an elderly woman

Arif, Adnan; Abideen, Zain Ul; Zia, Naeem; Khan, Muhammad Atif

doi:10.5144/0256-4947.2015.324

Cited by 8 publications

(6 citation statements)

References 16 publications

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“…This phenomenon is more common on the right side[ 6 ] with the proposed theories for lower rates on the left side which is the existence of the sigmoid colon covering the left obturator foramen. [ 7 ] Remarkably, two of three cases of the present case series have been presented as the “left-sided” incarcerated obturator hernias that lead to intestinal obstructions.…”

Section: Discussionmentioning

confidence: 82%

Incarcerated obturator hernia, an extremely rare cause of intestinal obstruction: case series

Aydın¹

2023

Ulus Travma Acil Cerrahi Derg

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Protrusion of abdominal contents through the obturator foramen is a rare type of abdominal wall hernia. It is usually seen unilaterally and right-sided. Predisposing factors are old age, high intra-abdominal pressure, pelvic floor dysfunction, and multiparity. Obturator hernia has one of the highest mortality rates of all abdominal wall hernias, with a difficult diagnostic process that can be misleading even for the most experienced surgeons. Therefore, to suspect and easily diagnose an obturator hernia, it is important to understand its characteristics. Computerized tomography scanning remains the best diagnostic tool with the highest sensitivity. Conservative approach is not recommended in obturator hernia cases. Once diagnosed, urgent surgical repair is indicated to prevent further ischemia, necrosis, and risk of perforation that can lead to peritonitis, septic shock, and death. Although open repair is a widely used and effective method for reducing abdominal hernias, including obturator, laparoscopic repairs have been described and become preferred. In this study, we present female patients aged 86, 95, and 90 years who were operated with the diagnosis of obturator hernia on computed tomography. The diagnosis of obturatory hernia should always be kept in mind, especially in the presence of acute mechanical intestinal obstruction findings in an elderly woman.

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Section: Discussionmentioning

confidence: 82%

Incarcerated obturator hernia, an extremely rare cause of intestinal obstruction: case series

Aydın¹

2023

Ulus Travma Acil Cerrahi Derg

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“…2020; 17(4):e102908. ature (3,4). Thereby, we report this case to discuss significant radiologic findings.…”

Section: Discussionmentioning

confidence: 99%

“…However, it is uncommon in the adult population (2). The coexistence of obturator hernia and Meckel's diverticulum is extremely rare, with only a few studies reported in the literature (3,4). Although obturator hernias have the highest mortality rate of between 13% and 40% for all abdominal hernias (1), vague signs and symptoms make them difficult to diagnose.…”

Section: Introductionmentioning

confidence: 99%

Obturator Hernia with Meckel’s Diverticulum Mimicking Incarcerated Small Bowel Hernia: A Case Report

et al. 2020

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: An obturator hernia is a rare type of abdominal hernia that can cause acute intestinal obstruction. Meckel’s diverticulum, the most common gastrointestinal tract malformation, is an uncommon cause of intestinal obstruction. The combination of obturator hernia and Meckel’s diverticulum is extremely rare. We report a rare case of obturator hernia with Meckel’s diverticulum in a 76-year-old woman who presented at the emergency room with complaints of abdominal pain. The diagnosis was confirmed by a computed tomography (CT) scan and exploratory laparotomy. Since obturator hernia is uncommon and rarely associated with Meckel’s diverticulum, we described the imaging features in this case study.

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“…On CT or MRI, a herniating bowel loop with a defect in the inguinal region is observed[ 4 ]. Obturator hernias are typically observed in emaciated and multiparous elderly women[ 9 ]. Therefore, when thin elderly women present with unexplained thigh pain (anterior, medial, or lateral areas), CT or MRI scans for evaluating obturator hernias are recommended.…”

Section: Discussionmentioning

confidence: 99%

Obturator hernia - a rare etiology of lateral thigh pain: A case report

Kim¹,

Lee²

2021

WJCC

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BACKGROUND Lateral thigh pain is a common complaint in patients visiting a pain clinic. Herein, we describe the case of a patient with lateral thigh pain caused by an obturator hernia. CASE SUMMARY An 83-year-old woman visited the emergency room with suddenly aggravated right lateral thigh pain. Magnetic resonance imaging of the thigh revealed no abnormal findings in the lateral thigh area. However, an obturator hernia between the pectineus and obturator externus muscles was observed by chance. Retroperitoneal computed tomography revealed a herniated small bowel with an incarceration point at the right obturator canal and a dilated loop of the small bowel upstream. Ultrasonography of the right inguinal region revealed a distended bowel loop in the right pectineus muscle. CONCLUSION Our report provides clinicians with information that an obturator hernia can cause lateral thigh pain.

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Perforated obturator Littré hernia in an elderly woman

Cited by 8 publications

References 16 publications

Incarcerated obturator hernia, an extremely rare cause of intestinal obstruction: case series

Incarcerated obturator hernia, an extremely rare cause of intestinal obstruction: case series

Obturator Hernia with Meckel’s Diverticulum Mimicking Incarcerated Small Bowel Hernia: A Case Report

Obturator hernia - a rare etiology of lateral thigh pain: A case report

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