scholarly journals TAPP Repair of an Obstructed Obturator Hernia

2013 ◽  
Vol 2 (3) ◽  
pp. 146-148
Author(s):  
Nitin Aggarwal ◽  
Ravinder Singh ◽  
Darpan Bansal
Keyword(s):  
Critical Care ◽  
Inguinal Hernia ◽  
Intestinal Obstruction ◽  
The Elderly ◽  
Acute Intestinal Obstruction ◽  
Obturator Hernia ◽  
High Morbidity ◽  
Previous Surgery ◽  
Common Cause ◽  
Tapp Repair

ABSTRACT Intestinal obstruction can be a result of diverse pathology depending upon the age of the patient. In the elderly, the most common cause appears to be malignancy or previous surgery. Inguinal hernia is another reason for acute intestinal obstruction, particularly in males. A rather rare cause of similar presentation in a female is obstructed obturator hernia. Due to its rarity and difficulty in diagnosis, most of the cases present late and, as a result, strangulation and necrosis of the bowel leads to high morbidity and mortality. We present a case of obstructed obturator hernia in a 80 years old female treated by laparoscopic transabdominal preperitoneal (TAPP) approach. How to cite this article Singh R, Bansal D, Aggarwal N. TAPP Repair of an Obstructed Obturator Hernia. J Trauma Critical Care Emerg Surg 2013;2(3):146-148.

scholarly journals Diagnostic difficulties in obturator hernia: a rare case presentation and review of literature

2020 ◽  
Vol 13 (9) ◽  
pp. e235644
Author(s):  
Tharun Ganapathy Chitrambalam ◽  
Pradeep Joshua Christopher ◽  
Jeyakumar Sundaraj ◽  
Sundeep Selvamuthukumaran
Keyword(s):  
Inguinal Hernia ◽  
Intestinal Obstruction ◽  
Rare Case ◽  
Diagnostic Laparoscopy ◽  
Obturator Hernia ◽  
High Morbidity ◽  
Radiological Imaging ◽  
Review Of Literature ◽  
Case Presentation ◽  
Diagnostic Difficulties

Hernia arising from obturator canal is rare and it contributes to about less than 1% of incidence of all hernias. Diagnosing an obturator hernia clinically is a challenging one and nearly impossible. These hernias usually present as an intestinal obstruction as more than 50% of obturator hernias goes in for strangulation. Here, we report an unusual presentation of an obturator hernia in a 70-year-old woman who presented to emergency room with acute abdomen and uncomplicated reducible inguinal hernia. Radiological imaging showed obstructed inguinal hernia while on diagnostic laparoscopy, a strangulated and perforated obturator hernia of Richter’s type was seen in addition to an uncomplicated inguinal hernia. Obturator hernia, although very rare, is associated with high morbidity and mortality as it is often underdiagnosed as in our case. Laparoscopy bailed us out from missing out a perforation from an occult obturator hernia.

scholarly journals Strangulated internal supravesical hernia associated with left inguinal hernia: A very rare case report of acute intestinal obstruction

2021 ◽  
pp. 102393
Author(s):  
El yamine othmane ◽  
Fatimazahra Bensardi ◽  
Abdessamad majd ◽  
El Bakouri Abdelilah ◽  
Bouali Mounir ◽  
...  
Keyword(s):  
Case Report ◽  
Inguinal Hernia ◽  
Intestinal Obstruction ◽  
Rare Case ◽  
Acute Intestinal Obstruction ◽  
Rare Case Report

A rare encounter of obstructed direct inguinal hernia

2019 ◽  
Vol 22 (2) ◽  
pp. 41-43
Author(s):  
Amit Kumar Singh ◽  
Nripesh Rajbhandari ◽  
Balaram Malla ◽  
Gakul Bhatta
Keyword(s):  
Emergency Department ◽  
Inguinal Hernia ◽  
Intestinal Obstruction ◽  
Intestinal Resection ◽  
Posterior Wall ◽  
Acute Intestinal Obstruction ◽  
University Hospital ◽  
Direct Inguinal Hernia ◽  
Direct Hernia ◽  
The Right

The direct inguinal hernia has a wider neck and thus usually doesn’t present as strangulation or incarceration in comparison to the indirect component. When direct inguinal hernias are untreated for a longer duration, they may get strangulated and incarcerated. Hence such long-standing direct hernias with features of intestinal obstruction and /or peritonism should be promptly seen and diagnosed to prevent massive and unwanted intestinal resection. We are reporting a case of 83-year-old male presented to Surgical Emergency Department of Dhulikhel Hospital, Kathmandu University hospital with complaints of swelling in the right inguinoscrotal region for 12 years and progressed to become irreducible and painful for 12 hours. Clinically he had an acute intestinal obstruction. Intra-operatively we found a direct hernia containing congested small bowel loops and toxic fluids. The toxic fluid was suctioned and after confirming viability, modified Bassini’s repair was done with reinforcement of the posterior wall. Even direct inguinal hernia of longer duration can cause acute or sub-acute intestinal obstruction with or without features of peritonism. This complication is more common in elderly patients.

scholarly journals Proportion of colonic carcinoma in cases presenting with acute intestinal obstruction: a cross sectional study

2021 ◽  
Vol 9 (1) ◽  
pp. 81
Author(s):  
Pauly T. Joseph ◽  
Rajiv Sajan Thomas ◽  
Sutharjivel V.
Keyword(s):  
Colon Cancer ◽  
Intestinal Obstruction ◽  
Dietary Habits ◽  
Colonic Neoplasms ◽  
Acute Intestinal Obstruction ◽  
Colonic Carcinoma ◽  
General Surgeon ◽  
Routine Practice ◽  
Common Cause ◽  
Obstructed Hernia

Background: Acute intestinal obstruction is one of the most common emergencies encountered by the general surgeon in routine practice. Although historically, obstructed hernia has been the most common cause, recent studies have shown that adhesive intestinal obstruction is now the commonest reason. Malignant bowel obstruction is also on the rise especially with the change in dietary habits. This study aims at identifying the proportion of colonic carcinoma in cases presenting with acute intestinal obstruction.Methods: The patients with acute intestinal obstruction which was diagnosed clinically and radiologically were studied. Based on operative and clinical findings along with investigation results, the etiology was identified. The patients having colonic neoplasms were identified and the data was compared with other etiological factors to find out the proportion of colonic carcinoma in the cases.Results: The proportion of colon cancer in patients presenting with acute intestinal obstruction was around 15%. The most common cause was obstructed hernia followed by post-operative adhesions. Males were more commonly affected than females. Most of the cases underwent operative management. The most common age group affected was around 50-60 years.Conclusions: This study confirms that there is a definite rise in the number of cases of colon cancer presenting as acute intestinal obstruction. There is also a skewing of the age at presentation towards younger age groups. Small bowel obstructions were much more common mainly due to adhesions and obstructed herniae.  

scholarly journals STUDY IN PAEDIATRIC AGE GROUP UNDERGOING EMERGENCY LAPAROTOMY : OBSERVATIONAL STUDY

2021 ◽  
pp. 1-2
Author(s):  
Akash KR. Gupta ◽  
Manoj KR Das ◽  
Marshal D Kerketta
Keyword(s):  
Intestinal Obstruction ◽  
Acute Abdomen ◽  
Gastrointestinal Diseases ◽  
Acute Intestinal Obstruction ◽  
Emergency Laparotomy ◽  
Age Group ◽  
Common Cause ◽  
Colonic Atresia ◽  
Paediatric Age ◽  
Perforation Peritonitis

INTRODUCTION: Acute abdomen can be defined as “syndrome included by wide variety of pathological conditions that require emergent medical or more often surgical management.” Acute abdomen is caused due to gastrointestinal diseases such as intestinal obstruction and perforation peritonitis. AIM: The aim of our study was to observe the common cause in paediatric age group undergoing emergency laprotomy in our institutions. MATERIAL AND METHODS:This prospective study included 77children aged below or equal to 15years, underwent emergency laprotomy for acute intestinal conditions between January 2019 to December 2019 in RIMS,RANCHI. We excluded neonates ,patients of jejunoileal colonic atresia and stenosis, anorectal malformation(ARM), congenital pouch colon, neonatal necrotizing enterocolitis(NEC), hirschprung’s disease, gastrointestinal tumor. RESULTS: Total of 77 laprotomies were performed in emergency in children below or equal to 15 years age,59(76.62% ) were boys and 18(23.37% )were girls with male:female ratio of 3.2:1. 36(46.75%) cases were done for acute intestinal obstruction and 41(53.24%) cases were done for perforation peritonitis.20(25.97%)emergency laprotomy was performed in the age group 1-5 years and 57(74.02% ) were performed in the age group 5-15 years. Causes in order of frequency for intestinal obstruction were intussusceptions, post operative band/adhesion, abdominal tb obstruction, meckel’s diverticulum and worm obstruction. Causes in order of frequency for perforation peritonitis were typhoid, abdominal tb, appendicular perforation and abdominal trauma. CONCLUSION: In our study maximum emergency laprotomy was performed in male patients with male:female ratio of 3.2:1. Perforation peritonitis was more common than acute intestinal obstruction. 5-15 year age group were more commonly affected. Typhoid ileal perforation was the most common cause for emergency laprotomy followed by intussusception.

scholarly journals SURGICAL ASPECTS OF CELIAC DISEASE

2018 ◽  
Vol 63 (5) ◽  
pp. 188-191
Author(s):  
A. R. Shakirova ◽  
A. A. Kamalova ◽  
R. Ya. Yafasov ◽  
R. A. Nizamova
Keyword(s):  
Celiac Disease ◽  
Intestinal Obstruction ◽  
Growth Retardation ◽  
Acute Intestinal Obstruction ◽  
Surgical Pathology ◽  
Common Cause ◽  
Intestinal Intussusception ◽  
Rare Manifestation ◽  
Surgical Aspects ◽  
Clinical Cases

There are publications on the association of celiac disease with intussusception and intestinal obstruction in adults. Although intussusception is the most common cause of intestinal obstruction in children, it is rarely considered in association with celiac disease. The article presents clinical cases of a rare manifestation of celiac disease with acute surgical pathology – acute intestinal obstruction due to the intestinal intussusception and obstruction. Children with intussusception with non-established etiology should be examined for celiac disease, especially when they have the appropriate symptoms – growth retardation, anemia, bloating, increased transaminase levels and other manifestations of celiac disease, and in case the child’s age is not entirely characteristic of the intussusception.

Obturator hernia as a cause of acute intestinal obstruction

1968 ◽  
Vol 115 (3) ◽  
pp. 301-306 ◽  
Author(s):  
William L. Joseph ◽  
Charles S. Kipen ◽  
William P. Longmire
Keyword(s):  
Intestinal Obstruction ◽  
Acute Intestinal Obstruction ◽  
Obturator Hernia

scholarly journals Study of acute intestinal obstruction management and its outcome

2021 ◽  
Vol 8 (12) ◽  
pp. 3535
Author(s):  
Valarmathi M.
Keyword(s):  
Intestinal Obstruction ◽  
Clinical Presentation ◽  
Operative Management ◽  
Acute Intestinal Obstruction ◽  
High Morbidity ◽  
Common Symptom ◽  
Abdominal Emergency ◽  
Postoperative Therapy ◽  
Correct Technique ◽  
Surgery Department

Background: Acute intestinal blockage (AIO) is a common abdominal emergency with a high morbidity and mortality rate. Early blockage diagnosis, skilled operative management, correct technique during surgery and intense postoperative therapy yield superior results. The aim was to study the aetiology, clinical presentation, therapy and outcomes of patients with IO who presented in the emergency department.Methods: This prospective study was conducted at the general surgery department from June 2019 to May 2021. The study comprised 60 patients with IO who presented to the OPD or emergency room and the data was analysed.Results: Among 60 patients with IO, peak incidence was observed in patients above 50 years of age, predominantly among males. Abdominal pain turned out to be the most common symptom of IO in our patients. Patients obstructed in the small intestine were found to be predominant. Post-operative adhesions were the most common cause of IO.Conclusions: Early diagnosis, proper preoperative hydration, fast investigations, and early operational intervention were found to increase survival in patients with intestinal obstruction in the current study.

scholarly journals Clinical and functional characteristics of patients with colorectal cancer complicated by acute intestinal obstruction

2018 ◽  
Vol 99 (6) ◽  
pp. 869-875
Author(s):  
F Sh Akhmetzyanov ◽  
A K Saetgaraev ◽  
A V Pasheev ◽  
N A Valiev ◽  
M V Levin ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Abdominal Surgery ◽  
Intestinal Obstruction ◽  
Inflammatory Diseases ◽  
The Elderly ◽  
Acute Intestinal Obstruction ◽  
Malignant Neoplasms ◽  
Oncologic Surgery ◽  
Functional Features ◽  
Senile Patient

Aim. To study the clinical and functional features of patients with colorectal cancer complicated by acute intestinal obstruction. Methods. A retrospective analysis of the data of 147 patients with colorectal cancer operated on from 2014 to 2016 for urgent indications for acute intestinal obstruction was performed. The study of lethality during the period from 1993 to 2016 was carried out separately. The study was performed in the clinic of urgent oncologic surgery of the State Autonomous Healthcare Institution “Republican Clinical Oncologic Dispensary” MH RT. Results. Among patients with acute intestinal obstruction in colorectal cancer, a constant increase of the ration of elderly and senile patients is observed, as well as high anesthesia risk. Statistically significant indices of decrease of nutritional status in the group of patients of elderly and senile age and subtle manifestations of hypovolemia were revealed. In the elderly and senile patient group, polypragmasia was registered in 50.5 %. Conclusion. Patients with colorectal cancer complicated by acute intestinal obstruction, have their own characteristics, different from patients operated on in clinics of urgent abdominal surgery with other diagnoses, the main ratio of which is made up of acute inflammatory diseases. This category of patients should be operated on in institutions where it is possible to provide specific highly skilled surgical and anesthesia-resuscitation care for malignant neoplasms.

scholarly journals Rare case of paracaecal hernia with intussusception presenting as small bowel obstruction: case report

2020 ◽  
Vol 7 (5) ◽  
pp. 1662
Author(s):  
M. S. Kalyan Kumar ◽  
Shyamsundar R. ◽  
Sabari Girieasan M. ◽  
R. Kannan ◽  
S. Nedunchezhiyan
Keyword(s):  
Intestinal Obstruction ◽  
Internal Hernia ◽  
Exploratory Laparotomy ◽  
Acute Intestinal Obstruction ◽  
Emergency Laparotomy ◽  
High Morbidity ◽  
Rare Presentation ◽  
Ileal Loop ◽  
Rare Type ◽  
Internal Hernias

Primary internal hernias are very rare in adults. They are an unusual cause of small intestinal obstruction and lead to high morbidity and mortality if left untreated. Clinical presentation of internal hernia is highly nonspecific. Imaging has limited role in diagnosing the cause of acute intestinal obstruction. Internal hernias are usually detected at laparotomy. We report a case of a 61-year-old male who presented with acute intestinal obstruction which was attributed later to a very rare type of internal hernia on exploratory laparotomy. A loop of ileum was found to enter the retroperitoneum through a hernia gate which was located lateral to the caecum and ileo ileal intussusception was noted proximal to the herniated loop. The segment of intestine was resected and anastamosed then hernial defect was closed. Paracaecal hernias are the rare type of hernias in internal hernia. In our case, intussusception was noted proximal to the herniated ileal loop which is a very rare presentation. Intussusception was reported previously with paraduodenal type. One should always keep in mind while conducting emergency laparotomy, internal hernias can be a cause for intestinal obstruction.

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