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Related Experiment Videos

Obturator hernia: a difficult diagnosis.

T A Rizk1, N Deshmukh

  • 1Department of Surgery, Guthrie Clinic/Guthrie Medical Center, Sayre, PA 18840.

Southern Medical Journal
|June 1, 1990
PubMed
Summary
This summary is machine-generated.

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Obturator hernias can cause intermittent intestinal obstruction in elderly women, especially those with kyphoscoliosis. A CT scan is crucial for diagnosing this rare condition when physical examination is inconclusive.

Area of Science:

  • Gastroenterology
  • Surgical Case Report
  • Geriatric Medicine

Background:

  • Elderly patients, particularly women with comorbidities like kyphoscoliosis and osteoarthritis, can present with complex symptoms.
  • Intermittent small-bowel obstruction in this demographic warrants a broad differential diagnosis, especially when typical causes like prior surgery are absent.

Observation:

  • A case of an elderly woman with severe kyphoscoliosis, osteoarthritis, and knee effusion presented with symptoms suggestive of intermittent intestinal obstruction.
  • Surgical exploration revealed a left-sided obturator hernia as the cause of the obstruction.

Findings:

  • The Howship-Romberg sign (pain along the ipsilateral thigh and knee) in conjunction with recurrent small-bowel obstruction symptoms should raise suspicion for obturator hernia.

Related Experiment Videos

  • A computed tomography (CT) scan of the pelvis and upper thigh is essential for confirming the diagnosis when the hernia is not palpable.
  • Implications:

    • Early diagnosis of obturator hernias through imaging can lead to prompt surgical intervention.
    • Prompt treatment improves patient outcomes and survival chances in elderly, debilitated individuals with obturator hernias.