Perforated obturator Littr hernia in an elderly woman.
Obturator hernia is an uncommon condition. It carries the highest mortality amongst abdominal wall hernias, usually presenting in elderly, multiparous and thin ladies. Meckel diverticulum is a rare cause of intestinal obstruction and its existence in an obturator hernia is extremely rare; our literature search revealed only two reported cases. We report the case of a 70-year-old woman who presented with signs and symptoms of intestinal obstruction and peritonitis. An exploratory laparotomy led to diagnosis of a strangulated obturator hernia. The sac contents included a Meckel diverticulum with a perforation at its base and a loop of the ileum. The ischemic ileal segment including the Meckel diverticulum was resected and a loop ileostomy was created.
Adnan
A
Arif
Dr. Zain Ul Abideen, Department of Medicine,, Rawalpindi Medical College,, Holy Family Hospital,, Punjab 44000, Pakistan, 923335565947, abideen_87@hotmail.com.
Zain Ul
ZU
Abideen
Naeem
N
Zia
Muhammad Atif
MA
Khan
D000368:Aged; D005260:Female; D006553:Hernia, Obturator / Q000150:complications / Q000601:surgery*; D006801:Humans; D007081:Ileostomy; D007082:Ileum / Q000601:surgery; D007415:Intestinal Obstruction / Q000209:etiology* / Q000601:surgery; D007416:Intestinal Perforation / Q000209:etiology / Q000601:surgery*; D008467:Meckel Diverticulum / Q000150:complications* / Q000601:surgery; D010538:Peritonitis / Q000209:etiology* / Q000601:surgery; D016896:Treatment Outcome