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[Incarcerated obturator hernia].

P A Naess1

  • 1Kirurgisk avdeling Köpings lasarett.

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|January 20, 1991
PubMed
Summary
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Incarcerated obturator hernias are rare, primarily affecting elderly women and mimicking small bowel obstruction. Late diagnosis in these high-risk patients contributes to a significant mortality rate.

Area of Science:

  • Gastroenterology
  • Surgical Case Reports

Context:

  • Incarcerated obturator hernia is a rare condition.
  • Clinical presentation often mimics small bowel obstruction.
  • Elderly women with chronic diseases are the most affected demographic.

Purpose:

  • To describe a case of incarcerated obturator hernia.
  • To highlight the clinical features and diagnostic challenges.
  • To discuss management and contributing factors to mortality.

Summary:

  • The case demonstrates typical clinical features of incarcerated obturator hernia.
  • Howship-Romberg sign, though pathognomonic, is infrequently present.
  • Preoperative diagnosis is challenging, often necessitating small bowel resection.

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Impact:

  • Emphasizes the importance of considering rare diagnoses in obstructive symptoms.
  • Highlights the need for early diagnosis to improve patient outcomes.
  • Underscores the high mortality associated with delayed diagnosis and treatment in elderly, comorbid patients.