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Small Bowel Obstruction Caused by Obturator Hernia
Olivier Colsoul1, Adelard De Backer1, Frederik Vandenbroucke1
1Vrije Universiteit Brussel (VUB), Universitair Ziekenhuis Brussel (UZ Brussel), Department of Radiology, Laarbeeklaan 101, 1090 Brussels, Belgium.
Journal of the Belgian Society of Radiology
|November 11, 2024
Summary
Obturator hernias can cause atypical thigh pain and intestinal obstruction in elderly patients. Computed tomography (CT) is crucial for diagnosing bowel loop entrapment in these cases.
Area of Science:
- Geriatric Medicine
- Surgical Gastroenterology
- Radiology
Background:
- Elderly patients may present with vague abdominal or thigh pain.
- Obscure symptoms can delay diagnosis of serious intra-abdominal conditions.
Purpose of the Study:
- To highlight obturator hernia as a cause of intestinal obstruction in the elderly.
- To emphasize the diagnostic utility of computed tomography (CT) for this condition.
Main Methods:
- Case report of an elderly patient with atypical medial thigh pain and intestinal obstruction.
- Review of diagnostic imaging, specifically computed tomography (CT).
Main Results:
- Computed tomography (CT) successfully identified bowel loop entrapment within an obturator hernia.
- The patient's symptoms were consistent with incarcerated obturator hernia.
Conclusions:
- Obturator hernia should be considered in the differential diagnosis of elderly patients with unexplained thigh pain and intestinal obstruction.
- Computed tomography (CT) is essential for accurate diagnosis and management planning.
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