Preoperative diagnosis of obturator hernia by computed tomography.
A retrospective study of 6 patients with obturator hernia diagnosed before surgery by X-ray and computed tomography (CT) was conducted between 1993 and 2000. The initial CT of the abdomen including the pelvic area revealed incarcerated bowel in the obturator foramen of all 6 patients. All patients underwent laparotomy as soon as possible after CT scans were obtained. Resection of the small bowel was performed in 3 patients, and release of the small bowel was performed in the remaining 3 patients. There were no perioperative deaths. In elderly women who show evidence of small bowel obstruction by abdominal plain x-ray studies, we recommend performing CT scans of the abdomen including the pelvic area for detection of obturator hernia.
Nishina
Masayoshi
M
Department of Acute Medicine, Kawasaki Medical School, Kurashiki, Japan.
Fujii
Chiiho
C
Ogino
Ryukoh
R
Kobayashi
Ryozoh
R
Kumada
Keisuke
K
Yamane
Kunikazu
K
Kohama
Akitsugu
A
D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006553:Hernia, Obturator / Q000175:diagnosis* / Q000601:surgery*; D006801:Humans; D007564:Japan; D007813:Laparotomy; D011300:Preoperative Care; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D016387:Women's Health