title: Strangulated obturator hernia - an unusual presentation of intestinal obstruction.
abstract: 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.
authors.affiliation: Department of Surgery, Midland Regional Hospital, Tullamore, Ireland. saqibzeeshan23@hotmail.com
authors.forename: Saqib
authors.initials: S
authors.lastname: Zeeshan
authors.forename: Khalid
authors.initials: K
authors.lastname: Muhammad
authors.forename: Jehanzeb
authors.initials: J
authors.lastname: Chughtai
authors.forename: Moses
authors.initials: M
authors.lastname: Ademola
authors.forename: Aqsa
authors.initials: A
authors.lastname: Masood
authors.forename: Sean
authors.initials: S
authors.lastname: Johnston
mesh_terms: 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