'Little old lady's hernia' causing small bowel obstruction in a man: a case report with a review of literature on the pathophysiology of obturator hernias.
Commonly known as 'little old lady's hernia', obturator hernias are usually seen in frail, octogenarian multiparous women reporting non-specific nausea and vomiting, abdominal pain and anteromedial thigh pain. They are exceedingly rare; even less frequently are they diagnosed preoperatively, with the vast majority being found incidentally at laparotomy for small bowel obstruction. This case report describes an atypical presentation of a 'little old lady's hernia' in a man, in whom, thanks to high degree of clinical suspicion, an incarcerated obturator hernia was diagnosed preoperatively and treated successfully.
Department of Digestive Diseases, Royal Sussex County Hospital, Brighton, Sussex, UK.
Ola
O
Blach
Department of Digestive Diseases, Royal Sussex County Hospital, Brighton, Sussex, UK.
Anil
A
Ghosh
D000368:Aged; D006553:Hernia, Obturator / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000503:physiopathology; D006801:Humans; D007415:Intestinal Obstruction / Q000000981:diagnostic imaging / Q000209:etiology*; D007421:Intestine, Small / Q000000981:diagnostic imaging*; D008297:Male; D035583:Rare Diseases; D014057:Tomography, X-Ray Computed