title: [Unusual case of intestinal obstruction at the ileal level: strangulated obturator hernia. A case report].
abstract: OBJECTIVE
  The authors report their experience about treatment of a rare case of intestinal (ileal) obstruction by strangulated obturator hernia.
  
  
  METHODS
  Report of 1 case; evaluation of effectiveness of surgical treatment, 2-years follow-up and revision of literature about its clinical presentation and treatment.
  
  
  METHODS
  Operative Unit of General and Thoracic Surgery, Department of Surgical, Anatomical and Oncological Disciplines. Policlinico, University of Palermo.
  
  
  METHODS
  The patient was submitted to curative and radical surgery.
  
  
  RESULTS
  Resolution of the pathology. Follow up (2 years) negative.
  
  
  CONCLUSIONS
  Obturator hernia is a rare pathology, with difficult and delayed diagnosis: all these character make dangerous this hernia, with a risk of high morbidity and mortality (delayed diagnosis and treatment). The only useful treatment is surgery, especially in front of intestinal obstruction, with a wide median laparotomy.
authors.affiliation: Unità Operativa di Chirurgia Generale ad Indirizzo Toracico, Dipartimento di Chirurgia Generale, d'Urgenza c Trapianti d'Organo, Università degli Studi di Palermo. girgera@tin.it
authors.forename: C
authors.initials: C
authors.lastname: Sciumè
authors.forename: G
authors.initials: G
authors.lastname: Geraci
authors.forename: F
authors.initials: F
authors.lastname: Pisello
authors.forename: F
authors.initials: F
authors.lastname: Li Volsi
authors.forename: M
authors.initials: M
authors.lastname: Cajozzo
authors.forename: R
authors.initials: R
authors.lastname: Vaglica
authors.forename: G
authors.initials: G
authors.lastname: Modica
mesh_terms: D000368:Aged; D005260:Female; D006553:Hernia, Obturator / Q000150:complications*; D006801:Humans; D007077:Ileal Diseases / Q000209:etiology*; D007415:Intestinal Obstruction / Q000209:etiology*