Successfully Treated Obturator Hernia in Spite of Delayed Operation.
10.4174/jkss.2009.77.3.211
- Author:
Ki Tae HWANG
1
;
Jung Kee CHUNG
;
In Mok JUNG
;
Seung Chul HEO
;
Young Joon AHN
;
Mee Soo CHANG
Author Information
1. Department of Surgery, Seoul National University Boramae Hospital, Seoul, Korea. jkchung@brm.co.kr
- Publication Type:Case Report
- Keywords:
Obturator hernia;
Obturator foramen
- MeSH:
Abdomen;
Aged;
Benzenesulfonates;
Delayed Diagnosis;
Disulfiram;
Female;
Hernia;
Hernia, Obturator;
Humans;
Pelvis;
Sutures
- From:Journal of the Korean Surgical Society
2009;77(3):211-215
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Obturator hernia is a rare type of pelvic hernia and occurs most commonly in elderly and debilitated women. It is still a challenge for surgeons to diagnose precisely in early stages because of its nonspecific symptoms and consequently delayed diagnosis could lead to high morbidity and mortality. We experienced a 92-year old patient who was diagnosed as obturator hernia which was confirmed by computed tomography scan of the abdomen and pelvis. The operation was delayed due to the refusal of family members but eventually done after 12 days from initial diagnosis. After manual reduction of small bowel impacted into right obturator foramen, segmental resection of impacted small bowel and anastomosis was done. The hernial defect was closed by primary closure with Dexon suture material. After the operation, the patient was discharged without significant complications. We report here successful results of delayed operation for obturator hernia.
