title: [Strangulated obturator hernia as a rare cause of intestinal obstruction (report of 2 cases)].
abstract: The Authors report on tpo cases of strangulated obturator hernia observed in their department during the period 1977-1987 and successfully operated on by mid-line laparotomy, both pith a diagnosis of occlusion of the small bowel. The Authors review the clinical signs and instrumental investigations which may be of use in reaching an early pre-operative diagnosis, which constitutes the only possibility of reducing the mortality associated with this condition. Particular attention is devoted to the somatic characteristics of the patients: elderly, thin, chronic bronchitic, hypertensive cardiopathic. In one of the two cases, there was a concomitant crural hernia. In both cases, which presented a picture of acute intestinal occlusion, the type of surgery opted for was a mid-line laparotomy. In one case, an ileal resection was performed. To close the orifice of the obturator canal, plain suture of the peritoneum was used in one case and a mersilene patch in the other.
authors.affiliation: Presidio Ospedaliero di S. Giovanni Bianco, Divisione di Chirurgia Generale.
authors.forename: I
authors.initials: I
authors.lastname: Signorelli
authors.forename: G M
authors.initials: GM
authors.lastname: Andreoni
authors.forename: G
authors.initials: G
authors.lastname: Capelli
authors.forename: M
authors.initials: M
authors.lastname: Molinari
authors.forename: S
authors.initials: S
authors.lastname: Maurizio
authors.forename: D
authors.initials: D
authors.lastname: Frosali
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006547:Hernia / Q000150:complications*; D006553:Hernia, Obturator / Q000150:complications* / Q000601:surgery; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology* / Q000601:surgery
vernacular_title: L'ernia otturatoria strozzata come rara causa di occlusione intestinale (osservazione di due casi).