An unusual case of early-stage obturator hernia causing bowel obstruction and strangulation

Obturator hernia is rare, contributing to less than 2% of the total incidence of small bowel obstructions. The diagnosis of obturator hernia is still a big challenge today. Abdominopelvic Computed Tomography scans have better diagnostic value preoperatively, showing the bowel loop between the pectin...

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Autores principales: Irfan Deny Sanjaya, MD, Prijambodo Prijambodo, MD
Formato: article
Lenguaje:EN
Publicado: Elsevier 2022
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Acceso en línea:https://doaj.org/article/ab61aa6a0d1448b59670008029d30d02
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spelling oai:doaj.org-article:ab61aa6a0d1448b59670008029d30d022021-11-30T04:15:19ZAn unusual case of early-stage obturator hernia causing bowel obstruction and strangulation1930-043310.1016/j.radcr.2021.10.030https://doaj.org/article/ab61aa6a0d1448b59670008029d30d022022-01-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S1930043321007500https://doaj.org/toc/1930-0433Obturator hernia is rare, contributing to less than 2% of the total incidence of small bowel obstructions. The diagnosis of obturator hernia is still a big challenge today. Abdominopelvic Computed Tomography scans have better diagnostic value preoperatively, showing the bowel loop between the pectineus and obturator externus muscle. We report an unusual case of a 77-year-old woman who presented to the emergency ward with an acute abdominal pain. Plain abdominal radiography showed small bowel obstruction. However, a computed tomography scan only showed signs of closed-loop obstruction and strangulation with bulging of the peritoneum through the obturator foramen. Exploration by laparotomy allowed complete evaluation of the obturator canal and confirmed the diagnosis of obturator hernia as a cause of bowel obstruction and strangulation.Irfan Deny Sanjaya, MDPrijambodo Prijambodo, MDElsevierarticleObturatorHerniaObstructionStrangulationMedical physics. Medical radiology. Nuclear medicineR895-920ENRadiology Case Reports, Vol 17, Iss 1, Pp 176-180 (2022)
institution DOAJ
collection DOAJ
language EN
topic Obturator
Hernia
Obstruction
Strangulation
Medical physics. Medical radiology. Nuclear medicine
R895-920
spellingShingle Obturator
Hernia
Obstruction
Strangulation
Medical physics. Medical radiology. Nuclear medicine
R895-920
Irfan Deny Sanjaya, MD
Prijambodo Prijambodo, MD
An unusual case of early-stage obturator hernia causing bowel obstruction and strangulation
description Obturator hernia is rare, contributing to less than 2% of the total incidence of small bowel obstructions. The diagnosis of obturator hernia is still a big challenge today. Abdominopelvic Computed Tomography scans have better diagnostic value preoperatively, showing the bowel loop between the pectineus and obturator externus muscle. We report an unusual case of a 77-year-old woman who presented to the emergency ward with an acute abdominal pain. Plain abdominal radiography showed small bowel obstruction. However, a computed tomography scan only showed signs of closed-loop obstruction and strangulation with bulging of the peritoneum through the obturator foramen. Exploration by laparotomy allowed complete evaluation of the obturator canal and confirmed the diagnosis of obturator hernia as a cause of bowel obstruction and strangulation.
format article
author Irfan Deny Sanjaya, MD
Prijambodo Prijambodo, MD
author_facet Irfan Deny Sanjaya, MD
Prijambodo Prijambodo, MD
author_sort Irfan Deny Sanjaya, MD
title An unusual case of early-stage obturator hernia causing bowel obstruction and strangulation
title_short An unusual case of early-stage obturator hernia causing bowel obstruction and strangulation
title_full An unusual case of early-stage obturator hernia causing bowel obstruction and strangulation
title_fullStr An unusual case of early-stage obturator hernia causing bowel obstruction and strangulation
title_full_unstemmed An unusual case of early-stage obturator hernia causing bowel obstruction and strangulation
title_sort unusual case of early-stage obturator hernia causing bowel obstruction and strangulation
publisher Elsevier
publishDate 2022
url https://doaj.org/article/ab61aa6a0d1448b59670008029d30d02
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