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Obturator hernia presenting as hip pain: a case report
Ping Keung Chan1, Tze Pui Ng, Ying Lee Lam
1Department of Orthopaedics and Traumatology, Queen Mary Hospital, Hong Kong.
Journal of Orthopaedic Surgery (Hong Kong)
|December 21, 2012
Summary
Obturator hernia can cause hip pain in elderly women. Early diagnosis via computed tomography is crucial to prevent complications.
Area of Science:
- Geriatric Medicine
- Surgical Gastroenterology
- Diagnostic Imaging
Background:
- Obturator hernias are rare abdominal wall defects.
- They often present with atypical symptoms, posing diagnostic challenges.
Observation:
- An 86-year-old woman presented with recurrent right hip pain.
- The pain was attributed to a concealed obturator hernia.
Findings:
- Obturator hernias are difficult to diagnose due to the hidden location of the hernia.
- Suspect obturator hernia in elderly, emaciated women with unexplained groin or hip pain.
Implications:
- High clinical suspicion in at-risk patients is essential.
- Computed tomography (CT) is vital for accurate diagnosis.
- Timely diagnosis and treatment reduce morbidity and mortality.
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