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Obturator Hernia: A Rare Condition with Common Surgical Symptoms
Abstract
Hernia is a common surgical problem. However, worldwide incidence of obturator hernia is <1% of all hernia cases, occurring more commonly in thin, elderly and multiparous female. An 82 years old lady presented with bowel obstruction sign and symptoms for 4 days duration. Imaging study, computed tomography with enhanced contrast (CECT) of abdomen and pelvis showed small bowel obstruction secondary to left obturator hernia. Emergency abdominal exploration with left transverse transperitoneal approach was performed. Intraoperatively, anti mesenteric part of ileal wall was incarcerated through the left obturator foramen causing small bowel obstruction and it was resected with end to end anastomosis. She recovered well and was discharged on postoperative day 7. The signs and symptoms of obturator hernia are non-specific. Most cases are presented with symptoms of intestinal obstruction, resulting in diagnostic difficulty for this rare condition. Delay in diagnosis and surgical intervention contribute to poorer outcomes.
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Paige, J. (2014). The management of semilunar line, lumbar, and obturator hernia. In: Cameron, A. M. and Cameron, J. L. (eds.), Current Surgical Therapy 11 ed. Philadelphia: Elsevier.
Mantoo S.K., Mak K., Tan T.J. (2009). Obturator hernia: diagnosis and treatment in the modern era. Singapore Med J, 50(9): 866-870
Hodgins, N., Cieplucha, K., Conneally, P. &Ghareeb, E. (2013). Obturator hernia: A case report and review of the literature. International Journal of Surgery Case Reports, 4, 889-892.
Kammori, M., Mafune, K., Hirashima, T., Kawahara, M., Hashimoto, M., Ogawa, T., Ohta, H., Hashimoto, H. &Kaminishi, M. (2004). Forty-three cases of obturator hernia. The American Journal of Surgery, 187, 549-552.
Cuschieri, A. (2015). Disorders of the abdominal wall, peritoneal cavity and retroperitoneum. In: Cuschieri, A. and Hanna, G. B. (eds.), Essential Surgical Practice 5 ed. Florida: CRC Press, pp 492-503.
Losanoff, J. E., Richman, B. W. & Jones, J. W. (2002). Obturator hernia. Journal of the American College of Surgeons, 194(5), 657-663.
Elena, M.-F., Stephanie, G.-B., Fernando, L.-M., Roberto, M.-O., Alfredo, M.-L. & Salvador, L. (2007). Computed tomographic diagnosis of obturator hernia and its surgical management: A case series. International Journal of Surgery 5, 139-142.
Kulkarni, S. R., Punamiya, A. R., Naniwadekar, R. G., B, J. H., Chotai, T. D., Singh, T. V. &Natchair, A. (2013). Obturator hernia: A diagnostic challenge. International Journal of Surgery Case Reports, 4, 606-608.
Skandalis, J. E. (1989). Obturator hernia. In: Skandalakis, J. E., Gray, S. W., Mansberger , A. R. J., Colborn, G. L. and Skandalakis, L. J. (eds.), Hernia: Surgical Anatomy and Technique. New York: Mcgraw-Hill, pp 174.
Yokoyama, T., Kobayashi, A., Kikuchi, T., Hayashi, K. & Miyagawa, S. (2011). Transabdominal preperitoneal repair of obturator hernia. World Journal of Surgery, 10, 2323-2327.
Shapiro, K., Patel, S., Choy, C., Chaudry, G., Khalil, S. & Ferzli, G. (2004). Totally extraperitoneal repair of obturator hernia. Surgical Endoscopy, 6, 954-956.
H. K. Goon, H. M. Mohd. Bahari (1983). Obturator Hernia: A Case Report. Med. J. Malaysia Volume 38 No.3 September 1983
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