Obturator Hernia Presenting as Hip Pain: A Case Report

Abstract

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.

Strangulated obturator hernia: Report of two cases

“…These delays result in resecting gangrenous bowel which is associated with high mortality rates. 10 , 11 …”

İnce Barsak Tıkanıklığının Nadir Bir Sebebi: Obturator Herni

“…Right-side obturator hernia is more common 4 , possibly because of the sigmoid colon lying in front of the obturator foramen on the left side. Clinical findings include intermittent abdominal pain and repeated episodes of bowel obstruction that resolve without intervention 3 . Its diagnosis is often delayed or missed, which results in high rates (25-100%) of bowel strangulation 3 .…”

“…Clinical findings include intermittent abdominal pain and repeated episodes of bowel obstruction that resolve without intervention 3 . Its diagnosis is often delayed or missed, which results in high rates (25-100%) of bowel strangulation 3 . The mortality from complicated obturator hernia has been reported 12% to 70% 3,5 .…”

“…It can cause significant morbidity and mortality, especially in the elderly 2 . Obturator hernia is a rare entity, accounting for 0.05% to 0.14% of all hernias 3 . Its incidence is estimated to be <1% worldwide and 1.6% in Asian populations 3 .…”

Left thigh pain with left lower abdominal discomfort

“…Thigh pain can be exacerbated by extension or abduction. In many cases, transientherniation repeats and finally complicates strangulation [1][2][3][4]. Usually, patients notice both abdominal pain and thigh pain, but in some cases only thigh repeat like this case.…”