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[Obturator hernia with small bowel ileus presenting as hip pain in an elderly woman]
Rannvá Winther1, Nellie Bering Zinther2, Erik Gadsbøll3
1Lungesygdomme, Aarhus Universitetshospital.
Abstract:
A 99-year-old frail woman presented with hip pain, vomiting and abdominal pain. Initial CT was interpreted as normal, and symptoms were attributed to pneumonia. Re-evaluation due to clinical deterioration revealed an obturator hernia with small bowel ileus. The patient was treated laparoscopically with a good outcome. Obturator hernia most often affects elderly, thin women and is difficult to diagnose due to nonspecific symptoms. It is a rare cause of small bowel obstruction, and the case highlights the need for increased awareness and systematic CT review in this patient group to reduce mortality.
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