Incarcerated obturator hernia treated using a hybrid laparoscopic and anterior preperitoneal approach: A case report

2018 ◽  
Vol 11 (3) ◽  
pp. 277-279 ◽  
Author(s):  
Yuta Yamazaki ◽  
Yasunori Otowa ◽  
Shunsuke Kusano ◽  
Koichi Nakajima ◽  
Shinsuke Satake ◽  
...  
Keyword(s):  
Case Report ◽  
Obturator Hernia ◽  
Preperitoneal Approach ◽  
Incarcerated Obturator Hernia

scholarly journals Elective laparoscopic repair after reduction might be useful strategy for incarcerated obturator hernia: a case report

2017 ◽  
Vol 2017 (9) ◽  
Author(s):  
Atsushi Kohga ◽  
Akihiro Kawabe ◽  
Yuchen Cao ◽  
Kiyoshige Yajima ◽  
Takuya Okumura ◽  
...  
Keyword(s):  
Case Report ◽  
Laparoscopic Repair ◽  
Obturator Hernia ◽  
Incarcerated Obturator Hernia

scholarly journals Effective Treatment for Incarcerated Obturator Hernia With Bowel Dilatation by Combined Laparoscopy and Preperitoneal Approach: A Case Report

2020 ◽  
Vol 104 (3-4) ◽  
pp. 155-158
Author(s):  
Mizunori Yaegashi ◽  
Chihiro Tono ◽  
Yukihiro Minagawa ◽  
Hideki Ishioka ◽  
Yuya Nakamura ◽  
...  
Keyword(s):  
Small Intestine ◽  
Intestinal Obstruction ◽  
Clinical Symptoms ◽  
Obturator Hernia ◽  
Preperitoneal Space ◽  
Preperitoneal Approach ◽  
Incarcerated Obturator Hernia ◽  
Median Incision ◽  
Space Approach

Background: We report a case of a 90-year-old woman with intestinal obstruction due to left-sided incarcerated obturator hernia, which was revealed using computed tomography. Methods: Emergency surgerywas performed using laparoscopy, which showed a dilated small intestine and bilateral obturator hernia in the intraperitoneal space. After reducing incarceration of the small intestine using laparoscopy, we approached the bilateral preperitoneal space and inserted a Kugel patch via a small lower abdominal median incision (approximately 4 cm). Results: The patient was discharged on postoperative day 10 and showed no recurrence at the 18-month follow-up. Although relatively rare, obturator hernia can significantly cause intestinal obstruction. It has no specific clinical symptoms and is thus often difficult to diagnose. Treating obturator hernia is essential; however, mesh infection, recurrence, and opposite side of the obturator hernia should be carefully monitored. Conclusions: Although laparoscopy is used for treating obturator hernia, it may be difficult in patients with intestinal obstruction. In this case, a surgical technique combining laparoscopy and preperitoneal space approach via a small lower abdominal median incision was used to effectively treat an incarcerated occult bilateral obturator hernia.

scholarly journals Rare case of incarcerated obturator hernia: Case report and review of literature

2017 ◽  
Vol 37 ◽  
pp. 157-160 ◽  
Author(s):  
N.C. Sá ◽  
V.C.M. Silva ◽  
P.R.L. Carreiro ◽  
A.S. Matos Filho ◽  
I.A. Lombardi
Keyword(s):  
Case Report ◽  
Rare Case ◽  
Obturator Hernia ◽  
Review Of Literature ◽  
Incarcerated Obturator Hernia

scholarly journals Richter’s Type of Incarcerated Obturator Hernia that Presented with a Deep Femoral Abscess: An Autopsy Case Report

2016 ◽  
Vol 17 ◽  
pp. 830-833 ◽  
Author(s):  
Satoru Yonekura ◽  
Masaaki Kodama ◽  
Shunichi Murano ◽  
Hirohisa Kishi ◽  
Akihiro Toyoda
Keyword(s):  
Case Report ◽  
Obturator Hernia ◽  
Autopsy Case ◽  
Incarcerated Obturator Hernia

scholarly journals Įstrigusi obturatorinė išvarža 49-erių metų moteriai: atvejo aprašymas ir literatūros apžvalga

2010 ◽  
Vol 8 (4) ◽  
Author(s):  
Marius Markevičius ◽  
Raimundas Lunevičius ◽  
Vitalijus Markovas ◽  
Juozas Stanaitis
Keyword(s):  
Risk Factors ◽  
Case Report ◽  
Bowel Obstruction ◽  
General Surgery ◽  
Obturator Hernia ◽  
Cervix Uteri ◽  
Emergency Hospital ◽  
University Center ◽  
Vilnius University ◽  
Incarcerated Obturator Hernia

Marius Markevičius, Raimundas Lunevičius, Vitalijus Markovas, Juozas Stanaitis Vilnius University, Center of General Surgery, Vilnius University Emergency Hospital,Šiltnamių str. 29, LT-04139 Vilnius, LithuaniaEl. paštas: [email protected] Incarcerated obturator hernia in 49 year old women: a case report and review of the literature Marius Markevičius, Raimundas Lunevičius, Vitalijus Markovas, Juozas Stanaitis Vilnius University, Center of General Surgery, Vilnius University Emergency Hospital,Šiltnamių str. 29, LT-04139 Vilnius, LithuaniaE-mail: [email protected] Introduction Incarcerated obturator hernia is a rare cause of bowel obstruction. This case report aimed to review the diagnosis and management of obturator hernia by describing the anatomy, clinical presentation, diagnostic modalities, and predisposing factors. Case presentation A 49-year-old woman presented to emergency department with progressive spastic abdominal pain, vomiting, abdomen enlargement, and tenesmus. One month before this episode she was diagnosed a carcinoma of the cervix uteri which was defined as T1b N1 M0 G2. She has undergone a curative R0 type surgery and adjuvant chemoradiation. There were no pelvic abnormalities described in the operative protocol. She lost 20 kg in two years. Because of ineffective conservative treatment, progression of acute bowel obstruction and signs of local peritonitis, she underwent an urgent curative laparotomy. It was confirmed that a loop of ileum was incarcerated and irreducible in the canal of right side of pelvis that suited to obturatoric foramen. Conclusion Rarity of such a condition makes great difficulties in diagnosing it. CT is needed to recognize obturator hernia in early stages before its incarceration. Significant lost weight (> 20 kg), and adjuvant chemoradiotherapy were most possible predisposing risk factors for right obturator hernia in 49 years old female. Keywords: obturator hernia, strangulated hernia, risk factors, laparoscopy, laparotomy.

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