Strangulated obturator hernia - an unusual presentation of intestinal obstruction.
An 81-year-old Caucasian emaciated female presented with 3 days history of colicky abdominal pain nausea, projectile vomiting and abdominal distension. A pre-operative diagnosis of mechanical bowel obstruction was made. The absence of characteristic clinical signs in this thin elderly woman with a small bowel obstruction failed to provide a pre-operative diagnosis. She underwent a midline laparotomy and resection and anastomosis of small bowel and repair of the strangulated right obturator hernia. The high mortality rate associated with this type of abdominal hernias requires a high index of suspicion to facilitate rapid diagnosis and prompt surgical intervention if the survival rate is to be improved.
Zeeshan
Saqib
S
Department of Surgery, Midland Regional Hospital, Tullamore, Ireland. saqibzeeshan23@hotmail.com
Muhammad
Khalid
K
Chughtai
Jehanzeb
J
Ademola
Moses
M
Masood
Aqsa
A
Johnston
Sean
S
D000369:Aged, 80 and over; D000714:Anastomosis, Surgical; D005260:Female; D006553:Hernia, Obturator / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D006801:Humans; D007415:Intestinal Obstruction / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D007813:Laparotomy; D016896:Treatment Outcome