A clinical conundrum with a radiological answer.
An 82-year-old woman with longstanding medial thigh pain presented with a 5-day history of constipation, vomiting, abdominal pain and distension. She was unable to pass flatus for the preceding 24 hours and had a past history of laparoscopic abdominal surgery. Computed tomography of the abdomen and pelvis revealed a right-sided obturator hernia containing a dilated loop of small bowel. She underwent emergency surgery for a right obturator hernia repair by limited laparotomy and was discharged after an extended stay complicated by postoperative atrial fibrillation.
Hillingdon Hospitals NHS Foundation Trust , UK.
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L
Sutton
Hillingdon Hospitals NHS Foundation Trust , UK.
A
A
Myers
Hillingdon Hospitals NHS Foundation Trust , UK.
C
C
Gupte
D000369:Aged, 80 and over; D003937:Diagnosis, Differential; D005260:Female; D006553:Hernia, Obturator / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D059685:Herniorrhaphy / Q000379:methods*; D006801:Humans; D007415:Intestinal Obstruction / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery; D007421:Intestine, Small; D010535:Laparoscopy / Q000379:methods; D014057:Tomography, X-Ray Computed / Q000379:methods*
Abdominal hernia; Bowel obstruction; Computed tomography; Obturator hernia