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Obturator hernia--case reports

M Y Chan1, I Swaminathan, B K Ng

  • 1Department of Surgery (MOH), Alexandra Hospital, Singapore.

Annals of the Academy of Medicine, Singapore
|November 1, 1994
PubMed
Summary
This summary is machine-generated.

Obturator hernia, a rare condition causing intestinal obstruction, is difficult to diagnose preoperatively. High suspicion is crucial for timely management to reduce the significant 30% mortality rate.

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Area of Science:

  • Surgery
  • Gastroenterology
  • Anatomy

Background:

  • Obturator hernias are rare abdominal wall hernias.
  • They often present with non-specific symptoms, leading to delayed diagnosis.

Observation:

  • Two cases of obturator hernia are presented, both with intestinal obstruction.
  • Preoperative diagnosis was not achieved in either case.

Findings:

  • A review of 57 cases (1981-1990) revealed no improvement in diagnosis or management.
  • The mortality rate for obturator hernia remains high at 30%.

Implications:

  • A high index of suspicion is essential for early diagnosis of obturator hernia.
  • Prompt diagnosis and surgical intervention can potentially reduce morbidity and mortality associated with this condition.