A case of hip pain in an elderly woman.

Guillem, P.; Bounoua, F.; Duval, Guillaume

doi:10.1259/bjr.73.875.11144806

Cited by 10 publications

(9 citation statements)

References 5 publications

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“…They constitute 0.05-0.4% of all hernias [3] and strangulated obturator hernia is present in 30% of cases. [4,5] It is seen in females more frequently, as the obturator canal in females is larger inside the pelvis. [6] Obturator hernia generally contains ileum and rarely colon, greater omentum, appendix, Meckel's diverticulum, urinary bladder, and gynaecological adnexa.…”

Section: Discussionmentioning

confidence: 99%

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An incidental diagnosis of obturator hernia during total hip arthroplasty

Sarıkaya¹,

Ataoğlu

Esen

2014

Eklem Hastalik Cerrahisi

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Section: Discussionmentioning

confidence: 99%

“…[3] Pain intensity may decrease with hip flexion. [5,8] Additionally, the Hannington-Kiff sign is more specific than the Howship-Romberg sign but less known. [3,9] It refers to an absent adductor reflex in the thigh with an intact patellar tendon reflex in patients with obturator nerve compression.…”

Section: Discussionmentioning

confidence: 99%

An incidental diagnosis of obturator hernia during total hip arthroplasty

Sarıkaya¹,

Ataoğlu

Esen

2014

Eklem Hastalik Cerrahisi

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“…Abdominal radiographs show dilatation of small bowel loops and air-fluid levels; in some patients, a gas shadow is seen in the area of the obturator foramen. 12 Ultrasonography may reveal a hypoechoic tubular structure or a cystic lesion in the region of obturator canal. Nonetheless, it is not easily identified due to its deep location within the pelvic musculature and the relatively small herniated sac.…”

Section: Discussionmentioning

confidence: 99%

“…The predilection for females is due to their relatively wider pelvises after pregnancies and a more oblique and wider obturator canal. 6,7,11,12 Other conditions (chronic constipation, chronic lung disease, ascites, kyphoscoliosis) and multiparousity also predispose to herniation by increasing intraabdominal pressure and relaxing the peritoneum. 13,14 Our patient presented with most of these predisposing factors.…”

Section: Discussionmentioning

confidence: 99%

Obturator Hernia Presenting as Hip Pain: A Case Report

Chan

Lam

2012

J Orthop Surg (Hong Kong)

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We report an 86-year-old women with an obturator hernia presenting with recurrent right hip pain. Obturator hernia is a diagnostic challenge because the hernial mass is usually concealed beneath the pectineus. It should be suspected in emaciated, multiparous, elderly women presenting with unexplained pain in the groin, hip, thigh, or knee. High levels of clinical suspicion of the high-risk patients and recourse to investigation by computed tomography are important, as delay in diagnosis and treatment is associated with increased morbidity and mortality.

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“…The obturator canal is 2-3 cm long and 1 cm wide. The obturator nerve and associated blood vessels are located in this canal and are surrounded by fatty tissue [2,3,6].…”

Section: Reviewmentioning

confidence: 99%

Įstrigusi obturatorinė išvarža 49-erių metų moteriai: atvejo aprašymas ir literatūros apžvalga

Markevičius¹,

Lunevičius²,

Markovas³

et al. 2010

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Marius Markevičius, Raimundas Lunevičius, Vitalijus Markovas, Juozas Stanaitis Vilnius University, Center of General Surgery, Vilnius University Emergency Hospital,Šiltnamių str. 29, LT-04139 Vilnius, LithuaniaEl. paštas: marijuss@gmail.com Incarcerated obturator hernia in 49 year old women: a case report and review of the literature Marius Markevičius, Raimundas Lunevičius, Vitalijus Markovas, Juozas Stanaitis Vilnius University, Center of General Surgery, Vilnius University Emergency Hospital,Šiltnamių str. 29, LT-04139 Vilnius, LithuaniaE-mail: marijuss@gmail.com Introduction Incarcerated obturator hernia is a rare cause of bowel obstruction. This case report aimed to review the diagnosis and management of obturator hernia by describing the anatomy, clinical presentation, diagnostic modalities, and predisposing factors. Case presentation A 49-year-old woman presented to emergency department with progressive spastic abdominal pain, vomiting, abdomen enlargement, and tenesmus. One month before this episode she was diagnosed a carcinoma of the cervix uteri which was defined as T1b N1 M0 G2. She has undergone a curative R0 type surgery and adjuvant chemoradiation. There were no pelvic abnormalities described in the operative protocol. She lost 20 kg in two years. Because of ineffective conservative treatment, progression of acute bowel obstruction and signs of local peritonitis, she underwent an urgent curative laparotomy. It was confirmed that a loop of ileum was incarcerated and irreducible in the canal of right side of pelvis that suited to obturatoric foramen. Conclusion Rarity of such a condition makes great difficulties in diagnosing it. CT is needed to recognize obturator hernia in early stages before its incarceration. Significant lost weight (> 20 kg), and adjuvant chemoradiotherapy were most possible predisposing risk factors for right obturator hernia in 49 years old female. Keywords: obturator hernia, strangulated hernia, risk factors, laparoscopy, laparotomy.

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A case of hip pain in an elderly woman.

Cited by 10 publications

References 5 publications

An incidental diagnosis of obturator hernia during total hip arthroplasty

An incidental diagnosis of obturator hernia during total hip arthroplasty

Obturator Hernia Presenting as Hip Pain: A Case Report

Įstrigusi obturatorinė išvarža 49-erių metų moteriai: atvejo aprašymas ir literatūros apžvalga

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