Obturator hernia: the ‘little old lady's hernia’

Durgakeri, Pramod; Strauss, Paul; Jones, Bianca

doi:10.1111/ans.12903

Cited by 8 publications

(4 citation statements)

References 4 publications

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“…The diagnosis of an obturator hernia is based on high suspicion and imaging study findings[ 8 ]. On CT or MRI, a herniating bowel loop with a defect in the inguinal region is observed[ 4 ].…”

Section: Discussionmentioning

confidence: 99%

Obturator hernia - a rare etiology of lateral thigh pain: A case report

Kim¹,

Lee²

2021

WJCC

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BACKGROUND Lateral thigh pain is a common complaint in patients visiting a pain clinic. Herein, we describe the case of a patient with lateral thigh pain caused by an obturator hernia. CASE SUMMARY An 83-year-old woman visited the emergency room with suddenly aggravated right lateral thigh pain. Magnetic resonance imaging of the thigh revealed no abnormal findings in the lateral thigh area. However, an obturator hernia between the pectineus and obturator externus muscles was observed by chance. Retroperitoneal computed tomography revealed a herniated small bowel with an incarceration point at the right obturator canal and a dilated loop of the small bowel upstream. Ultrasonography of the right inguinal region revealed a distended bowel loop in the right pectineus muscle. CONCLUSION Our report provides clinicians with information that an obturator hernia can cause lateral thigh pain.

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Section: Discussionmentioning

confidence: 99%

Obturator hernia - a rare etiology of lateral thigh pain: A case report

Kim¹,

Lee²

2021

WJCC

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“…Obturator hernia (OH), a consequence of the weakness of obturator membrane, is known as "little old lady's hernia." [1] It is a rare disease, accounting for 0.7% to 1% of all hernias and 0.2% to 1% of causes of mechanical bowel obstruction. [2] Preoperative diagnosis is challenging because of nonspecific signs and symptoms, thus leading to delayed diagnosis and potentially fatal complications including bowel ischemia and necrosis requiring segmental resection of the affected bowel.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic Treatment of Complicated Obturator Hernia: A Case Series of 6 Patients

2023

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Obturator hernia is a rare type of abdominal hernia. Preoperative diagnosis of obturator hernia is often challenging due to non-specific signs and symptoms, leading to late diagnosis and increased mortality. Laparoscopic repair has been suggested as one of the alternative options for complicated inguinal hernias. We describe a case series of 6 consecutive patients diagnosed with complicated obturator hernia and treated by laparoscopic repair. All patients were females, aged 81 to 90 years old. Most of them were underweight (BMI < 18.5). All cases presented with acute small bowel obstruction. All cases were unilateral obturator hernia. Concomitant femoral hernia existed in 3 cases (50%). Bowel resection was required in 2 cases due to bowel ischemia and perforation. Four of six cases were repaired using synthetic mesh, and the two remaining patients were treated with peritoneal closure and medial umbilical fold flap reinforcement. There were no postoperative deaths. Laparoscopic repair seems to be a safe and effective option for the treatment of complicated obturator hernia.

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“…The following methods of obturator defect closure, after reduction of the content, have been described: primary suture repair with non‐absorbable suture and extraperitoneal approach with synthetic mesh repair. In situations of peritoneal contamination, occluding the defect with adjacent soft tissue structures such as the uterus, ovary or bladder may be indicated …”

Section: Introductionmentioning

confidence: 99%