title: Sciatic hernia clinically mimicking obturator hernia, missed by ultrasonography: case report.
abstract: Sciatic hernia is a rare pelvic floor hernia that occurs through the greater or lesser sciatic foramen. Sciatic hernias often present as pelvic pain, particularly in women, and diagnosis can be difficult. Sciatic hernia is one of the rarest forms of internal hernia, which can present as signs and symptoms of small bowel obstruction, swelling in the respective gluteal region or pelvic pain. Transabdominal and transgluteal operative approaches, including laparoscopic repair, have been reported. We present a case of left-sided sciatic hernia with incarcerated small bowel as its contents. The hernia was missed by ultrasonography and plain abdominal radiography, but the clinical features were suggestive of an obturator hernia.
authors.affiliation: Department of General Surgery, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, India.
authors.forename: Shiraz Ahmad
authors.initials: SA
authors.lastname: Rather
authors.forename: Tanveer Iqbal
authors.initials: TI
authors.lastname: Dar
authors.forename: Aijaz Ahmad
authors.initials: AA
authors.lastname: Malik
authors.forename: Fazal Q
authors.initials: FQ
authors.lastname: Parray
authors.forename: Mukhtar
authors.initials: M
authors.lastname: Ahmad
authors.forename: Syed
authors.initials: S
authors.lastname: Asrar
mesh_terms: D000369:Aged, 80 and over; D003937:Diagnosis, Differential; D005260:Female; D046449:Hernia, Abdominal / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D006553:Hernia, Obturator / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D007415:Intestinal Obstruction / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D010535:Laparoscopy; D014463:Ultrasonography