scholarly journals Obturator hernia: case report

2020 ◽  
Vol 2020 (10) ◽  
Author(s):  
Esubalew Taddese Mindaye ◽  
Dereje Giduma ◽  
Tesfaye H Tufa
Keyword(s):  
Abdominal Wall Hernia ◽  
Signs And Symptoms ◽  
Postoperative Recovery ◽  
Obturator Hernia ◽  
Delayed Presentation ◽  
Diagnostic Challenge ◽  
Rare Type ◽  
Obturator Foramen ◽  
Abdominal Content ◽  
Crampy Abdominal Pain

Abstract Obturator hernia, protrusion of abdominal content through the obturator foramen, is a rare type of abdominal wall hernia. Late patient presentation is associated with significant morbidity and mortality. We present rare case of obturator hernia causing small bowel obstruction in a 65-year-old-female patient. She presented with crampy abdominal pain, nausea and vomiting of three days duration. She was diagnosed with acute surgical abdomen and managed surgically at Arsi University College of health sciences, Assela, Ethiopia. Intraoperative finding revealed left-side obturator hernia, which is an extremely rare occurrence. Despite delayed presentation, our patient had smooth postoperative recovery. Obturator hernia is exceedingly rare, and it poses a diagnostic challenge as signs and symptoms are often nonspecific, making a preoperative diagnosis difficult. So, it should be considered as differential diagnosis in elderly patients presenting with acute surgical abdomen.

scholarly journals Richter's type of obturator hernia with Howship Romberg sign: a case report

2021 ◽  
Vol 8 (12) ◽  
pp. 3738
Author(s):  
S. P. Gayathre ◽  
M. Kudiyarasu ◽  
Bala Brindha Saugunan ◽  
R. Kannan
Keyword(s):  
Primary Closure ◽  
Clinical Signs ◽  
Acute Intestinal Obstruction ◽  
Obturator Hernia ◽  
Emergency Laparotomy ◽  
Diagnostic Challenge ◽  
Rare Type ◽  
Obturator Foramen ◽  
Abdominal Hernias ◽  
Specific Symptoms

Obturator hernia is a rare type of pelvic hernia in which intraperitoneal contents protrude through the obturator foramen and is most commonly found in females. It accounts for about 1% of all abdominal hernias and possesses a great diagnostic challenge due to the non-specific symptoms and meagre clinical signs. Hereby we report a case of obturator hernia in an nonagenarian emaciated fragile old lady who presented with features of acute Intestinal obstruction and was diagnosed using computed tomography as right sided obturator hernia and eventually was taken up for emergency laparotomy. The herniated segment was resected and anastomosis was done with primary closure of the defect. Postoperative period was uneventful and the patient was discharged on postoperative day 7. 

scholarly journals Bowel obstruction in obturator hernia: a challenging diagnosis

2021 ◽  
Vol 8 (7) ◽  
pp. 2212
Author(s):  
Nimisha Ramachandran Chemmangattuvalappil ◽  
Babu John Pulluvelil ◽  
Ravindran Chirukandath ◽  
Santosh Vijayan Thekoot ◽  
Bobby Sebastian
Keyword(s):  
Bowel Obstruction ◽  
Clinical Case ◽  
Surgical Intervention ◽  
Exploratory Laparotomy ◽  
Obturator Hernia ◽  
Rare Type ◽  
Obturator Foramen ◽  
Surgical Interventions ◽  
Emergency Surgical Intervention ◽  
Specific Symptoms

The obturator hernia is a rare pelvic hernia that presents as bowel obstruction caused by the presence of an intestinal segment, more often ileum passing through obturator foramen. This type of hernia accounts for 0.5-1.4% of all hernias. We reported the clinical case of a 74 year old woman with no previous surgical interventions, presented to ER with abdominal pain and distension, features of intestinal obstruction, which she had experienced for previous three days. A CT scan revealed a right jejunal, obstructed obturator hernia. The patient underwent an emergency surgical intervention with emergency exploratory laparotomy and repair. This case was presented as obturator hernia was a rare type of hernia due to its diagnosis, which is often unclear with non-specific pain radiating to legs mimicking neurological symptoms. A prompt suspect based for the non-specific symptoms is crucial for the diagnosis. Surgical management depends on early diagnosis and it is the only possible treatment for this pathology.

scholarly journals Obstructed obturator hernia containing Meckel’s diverticulum: a case report

2018 ◽  
Vol 6 (1) ◽  
pp. 317 ◽  
Author(s):  
Sharad Jain ◽  
Motilal Maida ◽  
Sagar Manohar Patil
Keyword(s):  
Meckel’S Diverticulum ◽  
Abdominal Distension ◽  
Exploratory Laparotomy ◽  
Meckel's Diverticulum ◽  
Obturator Hernia ◽  
Mri Scan ◽  
Rare Type ◽  
Obturator Foramen ◽  
Polypropylene Sutures ◽  
Ct And Mri

An obturator hernia is a rare type of hernia and unusual cause of acute intestinal obstruction. The combination of diagnostic difficulty and high mortality rates make obturator hernia a serious diagnosis that can be potentially overlooked. We present a case of an elderly multiparous woman presented at the emergency room with complaints of abdominal distension, pain, vomiting and constipation for the last 4 days. On examination abdominal tenderness with distension was noted. Hernial orifices were normal. A CT and MRI reports were suggestive of right obstructed obturator hernia. Patient underwent emergency exploratory laparotomy. The hernial sac contained a narrow neck Meckel's diverticulum with perforation of proximal ileum. Resection of perforated segment along with Meckel's diverticulum was done and end to end ileo-ileal anastomosis was performed. Obturator foramen was closed with simple polypropylene sutures. CT/MRI scan is of immense help in preoperative diagnosis. Once the diagnosis is suspected or confirmed, patient should be taken for surgery as early as possible.

scholarly journals Obturator hernia: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
C. Kendall Major ◽  
Madiha Aziz ◽  
Jay Collins
Keyword(s):  
Case Report ◽  
Small Bowel ◽  
Signs And Symptoms ◽  
Small Bowel Resection ◽  
Obturator Hernia ◽  
Uneventful Recovery ◽  
Diagnostic Challenge ◽  
Case Presentation ◽  
History Of ◽  
Tomography Scan

Abstract Background Obturator hernia is rare and accounts for less than 1% of all abdominal wall hernias. It represents a diagnostic challenge due to its nonspecific signs and symptoms. Case presentation We present a case of an 89-year-old caucasian female with a 12-hour history of right medial thigh pain. Computed tomography scan revealed a right obturator hernia with small bowel obstruction. The hernia was successfully repaired laparoscopically without any need for small bowel resection. She was discharged on postoperative day 2 with an uneventful recovery and zero complications. Conclusion This case report highlights the importance of rapid diagnosis and repair of obturator hernia even in the setting of an improving clinical picture. It also demonstrates the safety of laparoscopic repair in this setting.

scholarly journals A Case of False-PositiveMycobacterium tuberculosisCaused byMycobacterium celatum

2016 ◽  
Vol 2016 ◽  
pp. 1-3
Author(s):  
Edward Gildeh ◽  
Zaid Abdel-Rahman ◽  
Ruchira Sengupta ◽  
Laura Johnson
Keyword(s):  
High Performance ◽  
Case Reports ◽  
Public Health Intervention ◽  
Signs And Symptoms ◽  
Clinical History ◽  
Nucleic Acid Amplification ◽  
Nontuberculous Mycobacterium ◽  
Diagnostic Challenge ◽  
Reliable Differentiation ◽  
Oligonucleotide Sequence

Mycobacterium celatumis a nontuberculous mycobacterium shown to cause symptoms similar to pulmonaryM. tuberculosis. Certain strains have been shown to cross-react with the probes used to detectM. tuberculosis, making this a diagnostic challenge. We present a 56-year-old gentleman who developed signs and symptoms of lung infection with computed tomography scan of the chest showing right lung apex cavitation. Serial sputum samples were positive for acid-fast bacilli and nucleic acid amplification testing identifiedM. tuberculosisribosomal RNA, resulting in treatment initiation. Further testing with high performance liquid chromatography showed a pattern consistent withM. celatum. This case illustrates the potential forM. celatumto mimicM. tuberculosisin both its clinical history and laboratory testing due to the identical oligonucleotide sequence contained in both. An increasing number of case reports suggest that early reliable differentiation could reduce unnecessary treatment and public health intervention associated with misdiagnosed tuberculosis.

scholarly journals External supravesical hernia is a rare type of abdominal wall hernia: A case report

2017 ◽  
Vol 7 (1) ◽  
pp. 40-41 ◽  
Author(s):  
Pankaj Kumar Saha ◽  
Ratna Rani Roy ◽  
Mohammad Emrul Hasan Khan ◽  
Md Mamunur Rahman ◽  
Kazi Shafiqul Alam ◽  
...  
Keyword(s):  
Case Report ◽  
Inguinal Hernia ◽  
Abdominal Wall ◽  
Abdominal Wall Hernia ◽  
Surgical Anatomy ◽  
Rare Type ◽  
First Case ◽  
Made In

The first case of external supravesical hernia was made in 1804; but it is so rare that it is very difficult to find any case reported in Bangladesh. Here a case of external supravesical hernia is described in a male who was presented with a left sided direct incomplete reducible inguinal hernia. This report aims to review and discuss the surgical anatomy of these rare supravesical hernias and calls attention to the confusing presentation and treatment of this conditionJ Shaheed Suhrawardy Med Coll, 2015; 7(1):40-41

scholarly journals Vesico-Salpingo Fistula Masquerading as Hydrosalpinx with Neurogenic Bladder - An Interesting Case Report

2021 ◽  
Vol 10 (34) ◽  
pp. 2942-2944
Author(s):  
Senthil Kumar Thiagarajan
Keyword(s):  
Developing Countries ◽  
Bladder Neck ◽  
Developed Countries ◽  
Fistula Formation ◽  
Delayed Presentation ◽  
Rare Type ◽  
Obstructed Labour ◽  
Delayed Repair ◽  
Urogenital Fistula ◽  
Adjacent Structures

A fistula is an abnormal connection between two luminal structures of different epithelium. The majority of urological fistulas in developed countries are consequences of iatrogenic injury most commonly laparoscopic hysterectomies, or from radiotherapy in the treatment of pelvic cancers.1 Contrary to this, most obstetric fistulas in developing countries result from obstructed labour during childbirth.2 Common factors that contribute to obstructed labour in developing countries are delayed presentation after trial labour at home, cephalopelvic disproportion and poor nutrition. Due to prolonged compression by head on the pelvic tissues there happens ischemic necrosis of vagina, bladder neck, and urethra3 called obstructed labour complex. Necrosis and fibrotic healing lead to fistula formation with adjacent structures. The vesicovaginal fistula was the most frequent one (78 %) and the common site involved was trigone (51 %) and based on the level it could be a high or low fistula. Others are vesicouterine fistula, vesicourethral fistula, vesicoureteral fistula and rarely vesico-salpingo fistula. During the acute phase of fistula, tissue oedema, hypovascularity, infection, and nonviable tissue hinder proper tissue healing and hence delayed repair is done after 3 months. Recent literature advises early repair for simple fistulas to reduce patient morbidity and delayed repair of complex fistula, multiple fistulas, infected fistulas, post-radiotherapy, fistula due to foreign bodies, immunocompromised patients, hypoproteinaemia patients, urosepsis patients. 4 Fistula repair is preceded by contrast evaluation of ureter and bladder by CT –IVU and cystogram or MRI followed by cystoscopy or retrograde pyelography. Apart from fistula closure, bilateral ureteric implantation may be needed if ureters are close to the fistula. 5 Abdominal hysterectomy is done in uterovesical fistulas. Huge fistulas close to the bladder neck cannot be repaired without compromising continence hence bladder neck closure is done with the Mitrofanoff procedure. 6 A vesico-salpingo fistula is an abnormal epithelial-lined communication between the urinary bladder and the fallopian tube. This rare type of urogenital fistula has only 7 previously published cases in the literature.

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.

Pheochromocytoma

2018 ◽  
Author(s):  
Ralph J. Beltran
Keyword(s):  
Multiple Endocrine Neoplasia ◽  
Pediatric Patients ◽  
Signs And Symptoms ◽  
Benign Disease ◽  
Rare Type ◽  
Von Hippel Lindau ◽  
Episodic Headache ◽  
Von Hippel Lindau Disease ◽  
Hereditary Conditions

Pheochromocytoma is a rare type of neoplasm diagnosed in children. It originates in the adrenal gland and is different from paragangliomas which arise outside the adrenals. Both types of tumors arise from neural crest cells and lead to signs and symptoms related to hypersecretion of catecholamines. Related symptoms include hypertension, tachycardia, episodic headache, sweating, and abdominal pain. These tumors may be associated with multiple endocrine type 2 syndrome, multiple endocrine neoplasia, and von Hippel-Lindau disease, among other hereditary conditions. Pheochromocytomas can be malignant in nature but may be indistinguishable from benign disease histologically and functionally. When malignant, they present with regional invasion or distant metastasis. Conditions presenting as sympathetic overactivity in pediatric patients can resemble pheochromocytoma (i.e., panic disorder, amphetamine consumption).

scholarly journals Cornual pregnancy-an unusual site of pregnancy: a case report and literature review

2019 ◽  
Vol 10 (1) ◽  
pp. 64-67
Author(s):  
Tanzeem S Chowdhury ◽  
Homaira Hasan ◽  
TA Chowdhury
Keyword(s):  
Ectopic Pregnancy ◽  
Uterine Cavity ◽  
Uterine Wall ◽  
Unusual Presentation ◽  
Cornual Pregnancy ◽  
Diagnostic Challenge ◽  
Unusual Site ◽  
Rare Type ◽  
Interstitial Pregnancy ◽  
Gestational Sac

Ectopic pregnancy is a condition where gestational sac is located outside the uterine cavity. Cornual pregnancy, also known as interstitial pregnancy, is a rare type of ectopic pregnancy that develops in the interstitial portion of the fallopian tube and invades through the uterine wall. It poses great diagnostic challenge because of its unusual presentation and late diagnosis. Cornual pregnancy, if not diagnosed early, may present with massive and uncontrollable bleeding even leading to maternal death. We hereby report an unusual presentation of cornual pregnancy which was diagnosed and subsequently managed successfully. Birdem Med J 2020; 10(1): 64-67

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