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Recurrent strangulated obturator hernia.

A Fakim1, M A Walker, D J Byrne

  • 1Department of Surgery, Ninewells Hospital and Medical School, Dundee, Scotland, U.K.

Annales Chirurgiae Et Gynaecologiae
|January 1, 1991
PubMed
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Diagnosing obturator hernias is challenging, especially when strangulated. Early suspicion and CT scans in elderly patients with unexplained intestinal obstruction can improve outcomes.

Area of Science:

  • Gastroenterology
  • Surgical Case Reports

Background:

  • Obturator hernias are rare abdominal wall hernias.
  • Strangulation significantly increases morbidity and mortality.
  • Recurrent cases present unique diagnostic challenges.

Observation:

  • A case of recurrent strangulated obturator hernia is detailed.
  • The patient presented with symptoms suggestive of intestinal obstruction.
  • Diagnostic delays were noted due to the uncommon nature of the condition.

Findings:

  • Literature review highlights the diagnostic difficulty of obturator hernias.
  • Strangulation is associated with a high mortality rate.
  • CT scanning of the pelvic region aids in diagnosis.

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Implications:

  • A high index of suspicion is crucial for early diagnosis.
  • Prompt surgical intervention is necessary for favorable outcomes.
  • This case underscores the importance of considering rare hernias in differential diagnosis.