Strangulated obturator hernia as an unusual cause of small bowel obstruction

2018 ◽  
Vol 89 (11) ◽  
Author(s):  
Allan M. F. Kwok ◽  
Mina Sarofim
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Obturator Hernia

scholarly journals SMALL BOWEL OBSTRUCTION SECONDARY TO OBTURATOR HERNIA: A PRE-OPERATIVE DIAGNOSIS AT COMPUTED TOMOGRAPHY

2021 ◽  
Vol 6 (1) ◽  
pp. 46-49
Author(s):  
Marlina Tanty Ramli ◽  
Mohd Shukry Mohd Khalid ◽  
Kartini Rahmat
Keyword(s):  
Computed Tomography ◽  
Small Bowel ◽  
Elderly Patients ◽  
Intestinal Obstruction ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Surgical Intervention ◽  
Obturator Hernia ◽  
Uneventful Recovery ◽  
Presenting Symptoms

Obturator hernia is rare, but it must be considered in elderly patients who present with small bowel obstruction. The diagnosis is challenging unless there is a high index of suspicion as the presenting symptoms and signs are usually non-specific. Presence of positive Howship-Romberg sign is considered pathognomonic. Early diagnosis and rapid surgical intervention will reduce the high morbidity and mortality associated with undiagnosed obturator hernia. We report a case of a 93-year-old female patient who was admitted to our surgical department with symptoms of intestinal obstruction of 3-days duration. Howship-Romberg sign was negative. Computed tomography (CT) demonstrated the presence of left obturator hernia with proximal small bowel obstruction and no sign of strangulation. The patient had emergency laparotomy post-CT where the incarcerated bowel loop was released and the obstructed bowel was decompressed without any complication. The hernial defect was close with a mesh and the patient had an uneventful recovery post-surgery. In this case, we highlight that diagnosis of obturator hernia must always be considered in elderly patients who present with intestinal obstruction. Urgent CT could establish a rapid pre-operative diagnosis and aids inappropriate surgical intervention planning which is crucial in optimising the outcome.

scholarly journals 248 Rectus flap for repair of Strangulated Obturator Hernia

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
N Angamuthu ◽  
S Alagaratnam ◽  
M Varcada ◽  
R D'Souza
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Primary Anastomosis ◽  
Muscle Flap ◽  
Rectus Muscle ◽  
Obturator Hernia ◽  
Suture Repair ◽  
Primary Suture ◽  
Large Defect

Abstract Introduction Obturator hernia (OH) is a rare abdominal wall hernia which commonly presents as small bowel obstruction. Surgical options include suture repair or use of autologous tissue or a mesh repair when primary suture repair is not feasible. We describe a case involving the use of the rectus abdominus muscle to repair a large OH. Case report An 81-year-old female presented with three days of abdominal distension and vomiting. A computerised tomography scan confirmed small bowel obstruction due to an obstructed left OH. At laparotomy, a short segment of non-viable distal ileum was reduced from the sac and resected with a primary anastomosis. The obturator defect was not amenable for suture approximation and due to concerns of possible mesh infection, the ipsilateral rectus muscle belly was mobilised from the anterior sheath, routed extra-peritoneally to plug the defect without tension. The muscle was anchored with prolene sutures to the cooper’s ligament, pectineus muscle and the fascia overlying the inner surface of inferior pubic ramus. Four months post-operatively, she has made an excellent recovery with no concerns currently. Conclusions In OH with a large defect precluding primary suture repair, a range of options have been described (use of autogenous peritoneal fold, pectineus muscle, round ligament, ovary, uterine fundus, omental and mesh plugs, and biological mesh). We believe, to plug and cover the defect, rectus muscle flap is a viable option giving a tension free robust repair, especially in patients with gangrenous bowel and local contamination.

scholarly journals An elderly woman’s limp: Obturator hernia as a rare cause of small bowel obstruction

2021 ◽  
Vol 50 (8) ◽  
pp. 553-556
Author(s):  
Jason Diab ◽  
Sarit Badiani ◽  
Angelina Di Re ◽  
Christophe R Berney
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Obturator Hernia

Usefulness of CT for differentiating between obturator hernia and other causes of small bowel obstruction

2013 ◽  
Vol 89 (1058) ◽  
pp. 729-730 ◽  
Author(s):  
Chih-Cheng Lai ◽  
Shih-Horng Huang ◽  
Wan-Hsiu Liao ◽  
Sheng-Hsiang Lin
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Obturator Hernia

Obturator Hernia: A Diagnostic Challenge of Small-Bowel Obstruction

2010 ◽  
Vol 339 (1) ◽  
pp. 92-94 ◽  
Author(s):  
Chien-Feng Liao ◽  
Ko-Chiang Hsu ◽  
Chia-Chen Liu ◽  
Chu-Hsin Chuang
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Obturator Hernia ◽  
Diagnostic Challenge

scholarly journals Obturator Hernia—an Uncommon Cause of Small Bowel Obstruction

2012 ◽  
Vol 17 (4) ◽  
pp. 840-841 ◽  
Author(s):  
Kamal Galketiya ◽  
Srikanth Sakrepatna ◽  
Sivakumar Gananadha
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Obturator Hernia

An unusual cause of small bowel obstruction: Strangulated obturator hernia

1997 ◽  
Vol 15 (1) ◽  
pp. 96-97 ◽  
Author(s):  
Juh-Cheng Yan ◽  
You-Chen Chao ◽  
Tong-Ho Young ◽  
Chung-Te Hsu ◽  
Chih-Yung Yu ◽  
...  
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Obturator Hernia
Sign in / Sign up

Export Citation Format

Share Document