Preoperative Diagnosis of Strangulated Obturator Hernia Using CT.
- Author:
Seh Jin CHANG
1
;
Chul Hee LEE
;
Seung Hye CHOI
;
Ji Young YUN
;
Chang Hyeok AHN
;
Nam Il KIM
;
Seong LEE
;
Seung Jin YOO
;
Keun Woo LIM
Author Information
1. Department of Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Obturator hernia;
Ileus;
Strangulated bowel;
Computed tomography;
Preoperative diagnosis
- MeSH:
Abdominal Pain;
Aged;
Aged, 80 and over;
Diagnosis*;
Early Diagnosis;
Female;
Hernia;
Hernia, Obturator*;
Humans;
Ileus;
Laparotomy;
Mortality;
Tomography, X-Ray Computed
- From:Journal of the Korean Surgical Society
2001;61(2):216-219
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Obturator hernia is a rare pelvic hernia, occuring most frequently in elderly, debilitated women. Because of nonspecific symptoms, the diagnosis of obturator hernia is often delayed until laparotomy for bowel obstruction. This leads to high bowel resection and mortality rates, which represents a diagnostic and therapeutic challenge for surgeons today. We experienced an unusual case of right obturator hernia with strangulation in an 81-year-old female patient who presented with intermittent generalized, particularly right lower quadrant, abdominal pain and distension. The hernia was diagnosed by computed tomography (CT) scan and repaired using the lower midline transperitoneal approach. CT scan in the evaluation of patients with nonspecific intermittent gastrointestinal symptoms leads to a diagnosis of occult hernia. We report these findings with a brief review of the literature focusing on finding indicators leading to early diagnosis and treatment.
