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Related Experiment Videos

Obturator hernia presenting as small bowel obstruction

C Y Lo1, T G Lorentz, P W Lau

  • 1Department of Surgery, University of Hong Kong Queen Mary Hospital.

American Journal of Surgery
|April 1, 1994
PubMed
Summary

Obturator hernia is a rare cause of small bowel obstruction, often diagnosed late in elderly women. This condition carries a high mortality rate due to delayed diagnosis and treatment.

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Area of Science:

  • Surgery
  • Gastroenterology
  • Abdominal Wall Surgery

Background:

  • Obturator hernia is a rare cause of small bowel obstruction.
  • Diagnosis is often delayed, leading to high mortality.
  • Commonly affects elderly, emaciated women with chronic conditions.

Purpose of the Study:

  • To review the clinical presentation, diagnosis, and outcomes of obturator hernia causing small bowel obstruction.
  • To highlight the challenges in diagnosing this rare condition.

Main Methods:

  • Retrospective review of 16 patients with obturator hernia diagnosed during surgery for small bowel obstruction.
  • Analysis of patient demographics, clinical presentation, surgical findings, and outcomes.

Main Results:

  • Obturator hernia accounted for 1.6% of mechanical intestinal obstructions.
  • Right-sided hernias were more common than left-sided.
  • Most patients required bowel resection, and morbidity/mortality rates were high due to late diagnosis.

Conclusions:

  • Obturator hernia is a significant cause of small bowel obstruction in specific patient groups.
  • Early diagnosis and surgical intervention are crucial to improve outcomes.
  • Increased awareness among clinicians is necessary for timely diagnosis.

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