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

scholarly journals Intestinal Obstruction of Congenital Origin: A Case Report

2020 ◽  
Vol 58 (221) ◽  
Author(s):  
Mandeeep Guragai ◽  
Suzit Bhusal ◽  
Anwesh Bhatta
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Young Child ◽  
Intestinal Obstruction ◽  
Mechanical Obstruction ◽  
Computed Tomography Scan ◽  
X Ray ◽  
Congenital Origin ◽  
Viral Enteritis ◽  
Tomography Scan

Congenital bands are rare causes of intestinal obstruction and often leads to diagnostic challenges.Diagnostic delays in cases of mechanical obstruction might lead to irreversible bowel ischemiaand perforation. Presently described is a case of an 18 month young child with severe vomitingdeveloped for one day. The child was initially thought to have acute viral enteritis and treatedaccordingly. Due to the severity, an X-Ray and computed tomography scan were sent which pointedtowards the possibility of having congenital bands. He was treated operatively. The child was keptunder observation for eleven days and was discharged. Although rare, intestinal obstruction due tocongenital bands must be considered when treating a child with severe vomiting.

scholarly journals Left sided Richter type obturator hernia causing intestinal obstruction: A case report

2018 ◽  
Vol 36 ◽  
pp. 1-4 ◽  
Author(s):  
Kusay Ayoub ◽  
Nihad Mahli ◽  
M. Fateh Dabbagh ◽  
Bashar Banjah ◽  
Bassel Banjah
Keyword(s):  
Case Report ◽  
Intestinal Obstruction ◽  
Obturator Hernia

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 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.

scholarly journals Gallstone ileus, the forgotten one: a rare cause of intestinal perforation and a case report

2020 ◽  
Vol 8 (6) ◽  
pp. 2313
Author(s):  
Osvaldo Ivan Guevara Valmaña ◽  
Hugo Enrique Beyuma Mora ◽  
Chantal Gonzalez Chavez ◽  
Laura Maria Murguia Zamora ◽  
Elias Gil Loaeza ◽  
...  
Keyword(s):  
Case Report ◽  
Intestinal Obstruction ◽  
Intestinal Perforation ◽  
Gallstone Ileus ◽  
Mechanical Obstruction ◽  
Surgical Extraction ◽  
Radiological Studies

Gallstone ileum represents an unusual cause of intestinal obstruction as a result of the presence of stones that cause mechanical obstruction. It has an incidence of less than 4%. Reaching mortality up to 25% of cases. It is a difficult suspicion, with characteristic signs that guide its presence such as pneumobilia, occlusion, and the presence of stone in radiological studies. Management should include surgical extraction as well as revision of the entire intestine with a suitable subsequent repair. Authors present the case of a 70-year-old patient with the presence of surgically resolved biliary ileum.

scholarly journals Chronic intestinal pseudo-obstruction in newborn: a case report

2020 ◽  
Vol 7 (6) ◽  
pp. 1431
Author(s):  
Mahmoud M. Osman ◽  
Ahmed Hassan Sherif ◽  
Mohammed Saleh Alissa ◽  
Suzan Abdel Hamid ◽  
Adel Abdelsalam Alatar
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Gastrointestinal Tract ◽  
Intestinal Obstruction ◽  
Mechanical Obstruction ◽  
Imaging Studies ◽  
Primary Defect ◽  
Neonatal Intestinal Obstruction ◽  
Rare Differential Diagnosis ◽  
Intestinal Pseudo Obstruction

Chronic intestinal pseudo-obstruction (CIPO) is a rare and serious disorder of the gastrointestinal tract motility with the primary defect of impaired peristalsis. Symptoms are consistent with a bowel obstruction, although mechanical obstruction cannot be identified. It is a rare differential diagnosis for neonatal intestinal obstruction. Herein we report a case of neonate with non-resolving intestinal pseudo-obstruction, presenting since birth as progressive abdominal distention. The diagnosis was made by exclusion of mechanical causes of intestinal obstruction via thorough imaging studies.

scholarly journals FMT for chronic intestinal obstruction caused by constrictive pericarditis: a case report

2020 ◽  
Author(s):  
Huan Chen ◽  
ZiJie Wang ◽  
Qing Hu ◽  
Mingming Deng ◽  
MuHan Lü ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Case Report ◽  
Nutritional Status ◽  
Cardiac Function ◽  
Intestinal Obstruction ◽  
Constrictive Pericarditis ◽  
Colonic Mucosa ◽  
Fecal Microbiota Transplantation ◽  
Fecal Microbiota

Abstract A 62-year-old man presented to our department with repeated vomiting, abdominal pain, bloating, and constipation. Echocardiography and computed tomography revealed his thickened pericardium with multiple eggshell-like calcifications, and incomplete intestinal obstruction. Colonoscopy showed extensive focal erosions in the colonic mucosa. After fecal microbiota transplantation, the patient's nutritional status was improved, intestinal obstruction was relieved, and his cardiac function his was restored. This case may provide a new option for the treatment of refractory incomplete intestinal obstruction.

scholarly journals Concurrent Occurrence of Tumor in Colon and Small Bowel following Intestinal Obstruction: A Case Report and Review of the Literature

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Seyed Mohammad Reza Nejatollahi ◽  
Omid Etemad
Keyword(s):  
Case Report ◽  
Small Bowel ◽  
Intestinal Obstruction ◽  
Neuroendocrine Tumors ◽  
Large Intestine ◽  
Bowel Obstruction ◽  
Large Bowel ◽  
Mechanical Obstruction ◽  
Review Of The Literature ◽  
Foreign Material

An intestinal obstruction occurs when either the small or large intestine is partly or completely blocked so it prevents passing the food or fluid through the small/large bowel. This blockage is due to the existence of a mechanical obstruction such as foreign material, mass, hernia, or volvulus. Common symptoms include cramping pain, nausea and vomiting, changes in bowel habits, inability to pass stool, and lack of gas. We present a case of an 83-year-old man who had been referred to Taleghani Hospital with symptoms of bowel obstruction. He underwent the surgery. The findings of exploration of the entire abdomen showed two types of mass separately in two different organs. In postoperative workup, pathology reported two types of tumors (adenocarcinoma and neuroendocrine tumors).

OBTURATOR HERNIA CASE REPORT: EARLY DIAGNOSIS WITH THE HELP OF COMPUTED TOMOGRAPHY

2008 ◽  
Vol 78 (6) ◽  
pp. 508-508 ◽  
Author(s):  
Nicholas J. M. Agar ◽  
Brendan M. P. Mooney ◽  
J. Nagorcka
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Early Diagnosis ◽  
Obturator Hernia
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