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2015 | 86 | 10 | 490-492
Tytuł artykułu

Richter Type of Incarcerated Obturator Hernia; Misery Still Continues

Treść / Zawartość
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
Obturator hernia is a rare type of hernia which accounts for only 0.07-1.4% of all intra-abdominal hernias and 0.2-5.8% of small-intestinal obstructions. It develops predominantly in elderly underweight women. It has nonspecific early symptoms, so these hernias are usually discovered only after they have become incarcerated. Incarcerated obturator hernias are usually discovered on abdominal computed tomography scan or emergency surgery due to bowel obstruction. Here we present a case of a 65-year-old female who presented with intermittent abdominal pain, distension and nausea for last 3 days. She was a known case of hypothyroidism, taking Levothyroxine in inadequate dose. Her intial abdominal Xray was showing few air-fluid level with air present in rectum. She was initially managed conservatively but later developed features of peritonitis for which she was operated. In laparotomy, Richter type of right-sided incarcerated obturator hernia was discovered with a small necrotic area and perforation of small bowel. Bowel resection was performed and obturator hernia was closed with interrupted sutures. The patient recovered without complications. Obturator hernia, due to its rarity and nonspecific early symptoms, can still be misleading even to the most experienced clinicians. Delay in diagnosis of obturator hernia can lead to bowel necrosis and perforation with significant postoperative morbidity and mortality.
Słowa kluczowe
Wydawca

Rocznik
Tom
86
Numer
10
Strony
490-492
Opis fizyczny
Daty
otrzymano
2013-12-02
online
2015-02-03
Twórcy
autor
  • Department of Surgery, Sudha Hospital and Medical Research Centre, Rajasthan, India Kierownik: dr, jayantsun@yahoo.co.in
  • Department of Surgery, Sudha Hospital and Medical Research Centre, Rajasthan, India Kierownik: dr
  • Department of Surgery, Sudha Hospital and Medical Research Centre, Rajasthan, India Kierownik: dr
Bibliografia
  • 1. Petrie A, Tubbs Rs, Matusz P et al.: Obturator Hernia: Anatomy, embryology, diagnosis, and treatment. Clin Anat 2011; 24: 562-69.[WoS]
  • 2. Zhang H, Cong Jc, Chen Cs: Ileum perforation due to delayed operation in obturator hernia: a case report and review of literature. world J Gastroenterol 2010; 16: 126-30.[WoS]
  • 3. Katoh T, Kawamoto R, Kusunoki T: A case of obturator hernia with overlooked howship-romberg sign and treated as sciatica. Nihon Ronen Igakkai zasshi 2011; 48: 176-79.
  • 4. Rodríguez-Hermosa Ji, codina-cazador a, Ma-roto-Genover A et al.: Obturator hernia: clinical analysis of 16 cases and algorithm for its diagnosis and treatment. Hernia 2008; 12: 289-97.[WoS]
  • 5. Kammori M, Mafune k, Hirashima T et al.: Forty three cases of obturator hernia. Am J surg 2004; 187: 549- 52.
  • 6. Yau KK, Siu WT, Fung KH, Li MK: Small-bowel obstruction secondary to incarcerated obturator hernia. Am J Surg 2006; 192: 207-08.
  • 7. Liao Cf, Liu Cc, Chuang Ch, Hsu Kc: Obturator hernia: a diagnostic challenge of small-bowel obstruction. Am J Med Sci 2010; 339: 92-94.
  • 8. Skandalakis Pn, Zoras О, Skandalakis Je, Mirilas P: Richter hernia: surgical anatomy and technique of repair. Am Surg 2006; 72: 180-84.
  • 9. Stamatiou D, Skandalakis Lj, Zoras О, Mirilas P: Obturator hernia revisited: surgical anatomy, embryology, diagnosis, and technique of repair. Am Surg 2011; 77: 1147-57.
  • 10. Mantoo Sk, Mak K, Tan Tj: Obturator hernia: diagnosis and treatment in the modern era. Singapore Med J 2009; 50: 866-70.
Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
bwmeta1.element.-psjd-doi-10_2478_pjs-2014-0087
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