Small bowel obstruction secondary to obturator hernia

Zhou, Youxin; Ji, Yaping; Lv, Jian

doi:10.1111/ans.15520

Cited by 2 publications

(8 citation statements)

References 5 publications

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“…3,9 This hernia is nine times more common in women than in men and usually occurs in small, emaciated, older females, ages 70-90, hence it is called the 'little old lady's hernia'. 1,3,4,6,7 Additional predisposing factors include constipation, ascites, chronic obstructive pulmonary diseases, and multiparity. 2 Multiparity results in ligamentous laxity and weakening of the obturator membrane increasing the risk of obturator hernia in those women.…”

Section: Discussionmentioning

confidence: 99%

“…This delay in diagnosis might be related to nonspecific signs and symptoms. [1][2][3][4][5][6][7][8][9][10] Sometimes patients may present the Howship-Romberg sign-pain on the medial aspect of the thigh up to the knee due to compression of the obturator nerve by the hernia itself in around 15 to 50% of the cases. The Hannington-Kiff sign is more specific but less known and corresponds to the absence of an adductor reflex of the thigh.…”

Section: Discussionmentioning

confidence: 99%

“…1,2,6 It refers to the herniation of abdominal contents through the obturator canal. 1,2,4,6 It is a relatively rare type of hernia, representing at least 0.05% to 2,2% of all hernias, and it causes 0.2% to 1.6% of all small bowel obstuctions [1][2][3][4][5][6][7] Most patients with obturator hernia are small, emaciated, elderly females, hence called the 'little old lady's hernia'. 1,3,4,7 Obturator hernia can present with incarceration and acute intestinal obstruction.…”

Section: Introductionmentioning

confidence: 99%

“…1,2,4,6 It is a relatively rare type of hernia, representing at least 0.05% to 2,2% of all hernias, and it causes 0.2% to 1.6% of all small bowel obstuctions [1][2][3][4][5][6][7] Most patients with obturator hernia are small, emaciated, elderly females, hence called the 'little old lady's hernia'. 1,3,4,7 Obturator hernia can present with incarceration and acute intestinal obstruction. 1 It has a high rate of mortality (12-70%) which may be related to the delay in diagnosis due to a lack of specific signs.…”

Section: Introductionmentioning

confidence: 99%

“…1 It has a high rate of mortality (12-70%) which may be related to the delay in diagnosis due to a lack of specific signs. 1,2,4,7 This delay will retard the treatment and thus can trigger irreversible injury to hernia contents like gangrenous bowel, viscus perforation, and peritonitis which may lead to death. 1 Therefore, early diagnosis and treatment are crucial.…”

Section: Introductionmentioning

confidence: 99%

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Little old lady’s hernia: a case of strangulated obturator hernia in a 88-year-old woman

Valente

Ferreira

et al. 2022

Int Surg J

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Obturator hernia is an extremely rare type of hernia and an uncommon cause of intestinal obstruction. Diagnosing it represents a challenge due to the lack of specific signs and symptoms. The delay in establishing the diagnosis is responsible for its high rate of mortality. The patients are usually older, emaciated, small women. We presented a case of a small, thin, 88-year-old woman that came to our emergency department with a four-day history of lower abdominal pain, more intense in the left iliac fossa associated with anorexia and constipation. The diagnosis of the left obturator hernia was made intra-operatively. The small bowel, inside the obturator foramen, was necrotic so we made an enterotomy with primary repair of the hernia defect. The patient had post-operative ileus and left inguinal seroma. She was discharged on day 15 post-op with a good recovery. This case report is meant to be an alert for the difficulty of the obturated hernia diagnosis.

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