Bilateral and recurrent obturator hernia
J A Rimmer1, S Wharton, F H Smedley
1Watford General Hospital, Hertfordshire.
The British Journal of Clinical Practice
|December 1, 1990
Summary
Obturator hernia is a rare condition often affecting elderly women. Delayed diagnosis of strangulated obturator hernia contributes to its high mortality rate.
Area of Science:
- General Surgery
- Gastroenterology
Background:
- Obturator hernia is a rare surgical condition, first documented in 1722.
- It predominantly affects elderly women, particularly those with significant weight loss.
- The condition carries a high risk of strangulation, occurring in 25-100% of cases.
Observation:
- This report details a unique case of a patient experiencing three distinct obturator hernia events.
- The clinical presentation and diagnostic challenges associated with recurrent obturator hernias are highlighted.
Findings:
- Strangulated obturator hernia presents a significant diagnostic challenge, often leading to delayed treatment.
- Delayed diagnosis is a major contributing factor to the high mortality rate (10-50%) associated with strangulated obturator hernia.
Implications:
- This case underscores the importance of considering obturator hernia in the differential diagnosis of abdominal and groin pain, especially in at-risk populations.
- Early recognition and prompt surgical intervention are crucial for improving outcomes and reducing mortality in obturator hernia cases.
- Further research into the predisposing factors and optimal management strategies for recurrent obturator hernias may be warranted.
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