Preoperative diagnosis of obturator hernia by computed tomography in six patients

2001 ◽  
Vol 20 (3) ◽  
pp. 277-280 ◽  
Author(s):  
Masayoshi Nishina ◽  
Chiiho Fujii ◽  
Ryukoh Ogino ◽  
Ryozoh Kobayashi ◽  
Akitsugu Kohama
Keyword(s):  
Computed Tomography ◽  
Preoperative Diagnosis ◽  
Obturator Hernia

scholarly journals Bilateral Obturator Hernia Diagnosed by Computed Tomography: A Case Report with Review of the Literature

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Sanjay M. Khaladkar ◽  
Anubhav Kamal ◽  
Sahil Garg ◽  
Vigyat Kamal
Keyword(s):  
Computed Tomography ◽  
Preoperative Diagnosis ◽  
Bowel Ischemia ◽  
Obturator Hernia ◽  
Morbidity And Mortality ◽  
Abdominal Hernia ◽  
Review Of The Literature ◽  
Diagnostic Challenge ◽  
Rare Form ◽  
Thigh Region

Obturator hernia is a rare form of abdominal hernia and a diagnostic challenge. It is commonly seen in elderly thin females. Its diagnosis is often delayed with resultant increased morbidity and mortality due to bowel ischemia/gangrene. It is mistakenly diagnosed as femoral or inguinal hernia on USG. Computed tomography is diagnostic and is a valuable tool for preoperative diagnosis. This report presents a case of 70-year-old thin female presenting with intestinal obstruction due to left sided obstructed obturator hernia. USG showed small bowel obstruction and an obstructed left sided femoral hernia. CT scan of abdomen and pelvis with inguinal and upper thigh region disclosed left sided obturator hernia. It also detected clinically occult right sided obturator hernia. Early diagnosis and surgical treatment contribute greatly in reducing the morbidity and mortality rate.

Preoperative diagnosis of obturator hernia by computed tomography

2002 ◽  
Vol 23 (2) ◽  
pp. 193-196 ◽  
Author(s):  
Masayoshi Nishina ◽  
Chiiho Fujii ◽  
Ryukoh Ogino ◽  
Ryozoh Kobayashi ◽  
Keisuke Kumada ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Preoperative Diagnosis ◽  
Obturator Hernia

OBTURATOR HERNIA: A CASE REPORT

2016 ◽  
pp. 106-109
Author(s):  
Hoang Minh Thi Nguyen ◽  
Huu Tri Nguyen ◽  
Thanh Thao Nguyen
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Intestinal Obstruction ◽  
Key Words ◽  
Clinical Manifestation ◽  
Elderly Women ◽  
Obturator Hernia ◽  
Abdominal Hernia ◽  
Mechanical Obstruction

Obturator hernia is a rare pelvic hernia which accounts for 1% of all abdominal hernia. Clinical manifestation is ussually unspecific. Obturator hernia is often diagnosed by computed tomography or ultrasound. We present a case of obturator hernia in an elderly women who was successfully diagnosed and treated at Hue Univeristy of Medicine and Pharmacy. Key words: obturator hernia, mechanical obstruction, intestinal obstruction, Richter obturator hernia, strangulation

Tuberculosis of the Gallbladder: An uncommon Case Report

2021 ◽  
Vol 15 (2) ◽  
pp. 106-107
Author(s):  
Swapan Kumar Biswas ◽  
Saiful Islam Khan ◽  
Muhammad Mofazzal Hossain
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Preoperative Diagnosis ◽  
Histopathological Examination ◽  
Open Cholecystectomy ◽  
Chronic Cholecystitis ◽  
Computed Tomography Scan ◽  
Endemic Region ◽  
Uncommon Case ◽  
Tomography Scan

Isolated gall bladder tuberculosis (GBTB) is exceedingly rare even in an endemic region and is usually found as a GB mass in association with cholelithiasis. Confirmed preoperative diagnosis is very difficult, and most cases are diagnosed after cholecystectomy. We present a case of a 45-years-old woman who came with symptoms of chronic cholecystitis. Computed tomography scan revealed intraluminal gallbladder mass and cholelithiasis. The patient underwent open cholecystectomy and GBTB was diagnosed after histopathological examination. Histopathological examination should be done after all cholecystectomy operations. Faridpur Med. Coll. J. 2020;15(2): 106-107

scholarly journals SMALL BOWEL OBSTRUCTION SECONDARY TO OBTURATOR HERNIA: A PRE-OPERATIVE DIAGNOSIS AT COMPUTED TOMOGRAPHY

2021 ◽  
Vol 6 (1) ◽  
pp. 46-49
Author(s):  
Marlina Tanty Ramli ◽  
Mohd Shukry Mohd Khalid ◽  
Kartini Rahmat
Keyword(s):  
Computed Tomography ◽  
Small Bowel ◽  
Elderly Patients ◽  
Intestinal Obstruction ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Surgical Intervention ◽  
Obturator Hernia ◽  
Uneventful Recovery ◽  
Presenting Symptoms

Obturator hernia is rare, but it must be considered in elderly patients who present with small bowel obstruction. The diagnosis is challenging unless there is a high index of suspicion as the presenting symptoms and signs are usually non-specific. Presence of positive Howship-Romberg sign is considered pathognomonic. Early diagnosis and rapid surgical intervention will reduce the high morbidity and mortality associated with undiagnosed obturator hernia. We report a case of a 93-year-old female patient who was admitted to our surgical department with symptoms of intestinal obstruction of 3-days duration. Howship-Romberg sign was negative. Computed tomography (CT) demonstrated the presence of left obturator hernia with proximal small bowel obstruction and no sign of strangulation. The patient had emergency laparotomy post-CT where the incarcerated bowel loop was released and the obstructed bowel was decompressed without any complication. The hernial defect was close with a mesh and the patient had an uneventful recovery post-surgery. In this case, we highlight that diagnosis of obturator hernia must always be considered in elderly patients who present with intestinal obstruction. Urgent CT could establish a rapid pre-operative diagnosis and aids inappropriate surgical intervention planning which is crucial in optimising the outcome.

scholarly journals Laparoscopic management of an ascending colon hernia through the foramen of Winslow

2020 ◽  
Vol 2020 (9) ◽  
Author(s):  
Cyrille Buisset ◽  
Agathe Postillon ◽  
Sandrine Aziz ◽  
Florian Bilbault ◽  
Guillaume Hoch ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Internal Hernia ◽  
Preoperative Diagnosis ◽  
Clinical Presentation ◽  
Absorbable Suture ◽  
Ascending Colon ◽  
Foramen Of Winslow ◽  
Absorbable Sutures ◽  
The Right ◽  
Epigastric Abdominal Pain

Abstract Herniation through the foramen of Winslow is rare, with a non-specific clinical presentation and his diagnosis may be difficult. A 44-year-old female was admitted with an acute epigastric abdominal pain. A computed tomography showed an internal hernia of the colon in the lesser sac. Laparoscopic reduction of the herniated contents and the fixation of the ascending colon with several non-absorbable sutures were performed. Twenty months after surgery, the patient has not experienced any recurrence. Computed tomography helps practitioners to the preoperative diagnosis of herniation through the foramen of Winslow, to the viability of the herniated contents and presence of occlusion. In case of herniation through the foramen of Winslow favored by a mobile ascending colon with a misapposition of the right Told fascia, the fixation of the colon with a non-absorbable suture was safe and may prevent the risk of recurrent internal hernia and colonic volvulus.

Is computerised 3D templating more accurate than 2D templating to predict size of components in primary total hip arthroplasty?

2018 ◽  
Vol 29 (3) ◽  
pp. 270-275 ◽  
Author(s):  
Erik Schiffner ◽  
David Latz ◽  
Pascal Jungbluth ◽  
Jan P Grassmann ◽  
Stephan Tanner ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Preoperative Diagnosis ◽  
3 Dimensional ◽  
Total Hip ◽  
Primary Thas ◽  
Implant Size ◽  
The Difference ◽  
Primary Total Hip Arthroplasty

Introduction: The aim of this study was to compare the accuracy of preoperative templating in total hip arthroplasty (THA) using conventional 2-dimensional (2D) and computed tomography (CT)-based 3-dimensional (3D) measures. Methods: One hundred and sixteen consecutive primary THAs were analysed. The preoperative diagnosis was primary osteoarthritis in all cases. The 2D templating and the 3D templating were performed by two different residents. All templating results were available for the orthopaedic surgeon performing the procedure. Accuracies with regard to the predicted and actual implant sizes were determined for each procedure. Implantation of the size as planned was defined as “exact”, whereas the use of components within one size larger or smaller (±1) as planned were defined as “accurate.” Results: The 3D templating was significantly more accurate in predicting implant sizing compared to 2D templating for primary total hip arthroplasty (THA). The difference was statistically significant for the cup templating (‘‘exact’’ p = 0.02; ‘‘accurate’’ p = 0.01) and for the stem templating (‘‘exact’’ p = 0.04; ‘‘accurate’’ p = 0.01). Conclusion: Our results support the superiority of 3D templating over 2D templating in predicting implant size.

OBTURATOR HERNIA DIAGNOSED BY COMPUTED TOMOGRAPHY

1997 ◽  
Vol 67 (10) ◽  
pp. 737-738 ◽  
Author(s):  
C. W. Chu ◽  
W. K. Loftus ◽  
S. S. SOMERS ◽  
C. Metreweli
Keyword(s):  
Computed Tomography ◽  
Obturator Hernia

scholarly journals Gastric lipoma: a rare cause of haematemesis

2018 ◽  
Vol 100 (3) ◽  
pp. e41-e43 ◽  
Author(s):  
B Krishnaraj ◽  
B Dhanapal ◽  
G Shankar ◽  
SC Sistla ◽  
I Galidevara ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Malignant Transformation ◽  
Preoperative Diagnosis ◽  
Outlet Obstruction ◽  
Gastric Neoplasms ◽  
Accurate Preoperative Diagnosis ◽  
Benign Tumours ◽  
Gastric Lipoma ◽  
Extensive Surgery

Gastric lipomas are rare benign tumours of the stomach, representing less than 3% of all benign gastric neoplasms. They are usually asymptomatic but larger lesions can present with abdominal pain, gastric outlet obstruction and haematemesis. Malignant transformation is extremely rare. Accurate preoperative diagnosis can be established with computed tomography. Being benign, extensive surgery is not necessary and simple excision of the lesion is adequate. Small asymptomatic lesions can be followed up. We present a case of 80-year-old woman with gastric submucosal lipoma who presented with haematemesis.

Sign in / Sign up

Export Citation Format

Share Document