The obturator hernia: Difficult to diagnose, easy to repair
- 1 May 2004
- journal article
- case report
- Published by Springer Science and Business Media LLC in Hernia
- Vol. 8 (2), 155-157
- https://doi.org/10.1007/s10029-003-0177-2
Abstract
Background The aim of this paper is to present a simple method for obturator hernia repair in two cases with strangulated obturator hernia. Methods The authors report on two cases of mechanical bowel obstruction due to incarcerated obturator hernia in elderly, thin women. Both patients presented with clinical and radiological signs of small bowel obstruction. Neither of them had the Howship-Romberg or Hannington-Kiff sign. Results At laparotomy, incarcerated small bowel in a right-sided obturator hernia was observed in both patients. The small bowel was not necrotic, and no bowel resection was performed. The hernial defect was closed in two layers with interrupted and purse-string nonabsorbable sutures. Conclusions Obturator hernia is rare and difficult to diagnose. Often the diagnosis is reached only at laparotomy for small bowel obstruction. The double-layer repair with interrupted and purse-string nonabsorbable sutures could be useful, especially in emergency laparotomies for incarcerated obturator hernia.Keywords
This publication has 12 references indexed in Scilit:
- Obturator hernia repair – a new techniqueHernia, 2002
- Obturator hernia: The plug techniqueHernia, 2001
- Typical versus Atypical Presentation of Obturator HerniaThe American Surgeon, 2001
- Obturator Hernia: Laparoscopic Diagnosis and Repair1999
- Obturator hernia: a new technique for repair.1998
- Preoperative diagnosis of strangulated obturator hernia using ultrasonographyThe American Journal of Surgery, 1997
- Obturator hernia is an unsuspected diagnosisThe American Journal of Surgery, 1997
- Obturator hernia: Current diagnosis and treatmentSurgery, 1996
- Obturator hernia presenting as small bowel obstructionThe American Journal of Surgery, 1994
- Absent thigh adductor reflex in obturator hernia.1980