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Obturator hernia: A diagnostic challenge
Midori Tokushima1, Hidetoshi Aihara2, Masaki Tago2
1Department of General Medicine, Saga University Hospital, Saga City, Japan ; The Community Center of General Medicine, Saga University Hospital, Saga City, Japan.
The American Journal of Case Reports
|July 10, 2014
Summary
Obturator hernia (OH) presents a diagnostic challenge, even with subtle abdominal symptoms and CT findings. This case highlights the importance of recognizing subtle signs for timely intervention.
Area of Science:
- Gastroenterology
- Abdominal Surgery
- Diagnostic Imaging
Background:
- Obturator hernia (OH) is rare and difficult to diagnose due to nonspecific symptoms.
- The characteristic Howship-Romberg sign is infrequently present in OH cases.
Purpose of the Study:
- To describe a challenging case of obturator hernia in a 90-year-old woman.
- To highlight diagnostic difficulties associated with obturator hernia, even with advanced imaging.
Main Methods:
- Case report of a 90-year-old female patient.
- Utilized abdominal computed tomography (CT) for diagnosis.
- Managed the case with conservative treatment.
Main Results:
- The obturator hernia was initially overlooked on CT due to subtle findings (Richter type).
- The patient presented with epigastric pain and vomiting.
- Conservative treatment led to a dramatic improvement in her condition.
Conclusions:
- Obturator hernia diagnosis can be challenging, even with abdominal CT.
- Early diagnosis is crucial for reducing morbidity and mortality in obturator hernia cases.
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