Sudden knee pain in an underweight, older woman: obturator hernia

Tateno, Yuki; Adachi, Kensuke

doi:10.1016/s0140-6736(14)60883-7

Cited by 10 publications

(5 citation statements)

References 4 publications

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“…Tenderness may be elicited on palpation of the obturator foramen through a rectal or vaginal examination, but palpation of a mass occurs only in 20% of patients. The Howship-Romberg sign is referred to as pain down the medial thigh to the knee through compression of the obturator nerve with extension, abduction and medial rotation that is relieved by flexion of the thigh 9. Although pathognomonic, the Howship-Romberg sign is present in only 25%–50% of patients 1 2 6…”

Section: Discussionmentioning

confidence: 99%

Obturator hernia: a rare cause of bowel obstruction

et al. 2017

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An obturator hernia is a rare condition and an unusual cause of intestinal obstruction. With a challenging diagnosis, it has one of the highest mortality rates of all abdominal wall hernias. The authors present a case of an elderly woman with bowel obstruction secondary to an incarcerated obturator hernia. An 80-year-old woman presented at the emergency room with complaints for the last 2 days of nausea, vomiting, constipation and lower right abdominal pain that radiated down to the right medial thigh. Abdominal tenderness to deep palpation of the right iliac fossa and mildly distention were noted. A CT scan demonstrated bowel obstruction secondary to an incarcerated obturator hernia. The patient underwent emergency exploratory laparotomy. The incarcerated bowel was reduced and the defect was repaired with a plug of polypropylene mesh covered with peritoneum. The patient had an uneventful postoperative period and was discharged on the fifth postoperative day.

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Section: Discussionmentioning

confidence: 99%

Obturator hernia: a rare cause of bowel obstruction

et al. 2017

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“…El lado derecho es el más afectado, y se cree que es secundario a la presencia del colon sigmoides en el lado izquierdo que cubre el foramen obturador, actuando como barrera preventiva de herniación 5,7 . La semiología de la HO es compleja, dada la localización anatómica del defecto herniario (lo que explica la inespecificidad de síntomas y signos).…”

Section: Discussionunclassified

“…El cuadro clínico reportado en la bibliografía corresponde a episodios intermitentes de obstrucción intestinal (90 %) en un paciente sin intervenciones quirúrgicas abdominales, sumado a dolor en la cara interna del muslo del lado afectado, que se incrementa con la extensión, la rotación interna y la aducción de la extremidad (signo de Howship-Romberg), y la pérdida del reflejo de los aductores, conocido como el signo de Hannington-Kiff 5,7 .…”

Section: Discussionunclassified

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Hernia obturatriz y obstrucción intestinal. Reporte de caso

Ospina¹,

Toscano²,

Arango³

et al. 2017

Rev Hispanoam Hernia

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La hernia obturatriz es una causa rara de obstrucción intestinal. Es frecuente en muje-res multíparas, con pérdida de peso marcada. El diagnóstico preoperatorio es un reto y sumanejo es quirúrgico, pero dada su poca frecuencia no existen recomendaciones sobre unatécnica universal. Se presenta el caso de una mujer con obstrucción intestinal y diagnósticotomográfico de hernia obturatriz. Se realiza abordaje mediante laparotomía infraumbilical,con reducción exitosa de la hernia y reparación con malla sin resección intestinal.

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“…This type of hernia was first described by Pierre Roland Arnaud de Ronsil in 1724[ 153 ], although a patient had been described by Le Maire in 1718[ 153 ]. Notably, the Howship-Romberg sign [named after John Howship (1781–1841) and Moritz Heinrich Romberg (1795–1873)] is associated with obturator hernia[ 154 ]; however, this rare hernia generally exhibits nonspecific signs and symptoms[ 155 ]. Hence, the usefulness of computed tomography for diagnosis was suggested in 1983[ 156 ].…”

Section: Obturator Herniamentioning

confidence: 99%

Fascinating history of groin hernias: Comprehensive recognition of anatomy, classic considerations for herniorrhaphy, and current controversies in hernioplasty

Hori¹,

Yasukawa²

2021

WJM

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Groin hernias include indirect inguinal, direct inguinal, femoral, obturator, and supravesical hernias. Here, we summarize historical turning points, anatomical recognition and surgical repairs. Groin hernias have a fascinating history in the fields of anatomy and surgery. The concept of tension-free repair is generally accepted among clinicians. Surgical repair with mesh is categorized as hernioplasty, while classic repair without mesh is considered herniorrhaphy. Although various surgical approaches have been developed, the surgical technique should be carefully chosen for each patient. Regarding as interesting history, crucial anatomy and important surgeries in the field of groin hernia, we here summarized them in detail, respectively. Points of debate are also reviewed; important points are shown using illustrations and schemas. We hope this systematic review is surgical guide for general surgeons including residents. Both a skillful technique and anatomical knowledge are indispensable for successful hernia surgery in the groin.

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Sudden knee pain in an underweight, older woman: obturator hernia

Cited by 10 publications

References 4 publications

Obturator hernia: a rare cause of bowel obstruction

Obturator hernia: a rare cause of bowel obstruction

Hernia obturatriz y obstrucción intestinal. Reporte de caso

Fascinating history of groin hernias: Comprehensive recognition of anatomy, classic considerations for herniorrhaphy, and current controversies in hernioplasty

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