Obstructed obturator hernia with laparoscopic approach repair
Document Type
Article
Publication Date
1-1-2022
Abstract
Obturator hernia is an uncommon intra-abdominal hernia with the incidence of 0.05-1.4 of all hernias. Diagnosis is often delayed as the clinical picture is usually non-specific and poses a diagnostic challenge to clinicians. This report describes a case of an 80-year-old woman, who presented to the Emergency Department with left lower quadrant abdominal pain that radiates to the left hip region for one day. Plain abdominal radiography showed dilated loops of small bowel in the pelvic region. Contrasted Enhanced Computed Tomography (CECT) of abdomen and pelvis demonstrated left obturator hernia with small bowel obstruction. Emergency laparoscopic obturator hernia repair was performed. Intraoperative findings confirmed a left incarcerated obturator hernia. The small bowel was reduced and viable. Subsequently, a primary closure of the hernia orifice was performed. This case report emphasizes the successful use of a laparoscopic approach in obstructed obturator hernia and its feasibility in an emergency setting. © 2022, Faculty of Medicine, University of Malaya. All rights reserved.
Keywords
Abdominal pain, Abdominal radiography, aged, Article, Biochemical analysis, Bladder distension, Case report, Clinical article, Computer assisted tomography, Contrast enhancement, Digital rectal examination, Echography, Female, Human, Inguinal hernia, Intestine obstruction, Laparoscopic surgery, Obturator hernia, Vomiting
Divisions
fac_med
Funders
None
Publication Title
Journal of Health and Translational Medicine
Volume
25
Issue
1
Publisher
Faculty of Medicine, University of Malaya