TITLE

Two Different Surgical Approaches for Strangulated Obturator Hernias

AUTHOR(S)
Siow, Sze Li; Voon, Kenneth Kher Ti
PUB. DATE
January 2012
SOURCE
Malaysian Journal of Medical Sciences;Jan2012, Vol. 19 Issue 1, p69
SOURCE TYPE
Academic Journal
DOC. TYPE
Case Study
ABSTRACT
Obturator hernia is a rare condition that may present in an acute or subacute setting in correlation with the degree of small-bowel obstruction. Pre-operative diagnosis is difficult, as symptoms are often non-specific. A high index of suspicion should be maintained for emaciated elderly women with small-bowel obstruction without a previous abdominal operation and a positive Howship-Romberg sign. When diagnosis is in doubt, computed tomography scan of the abdomen and the pelvis (if available) or laparotomy should be performed immediately, as high mortality rate is related to the perforation of gangrenous bowels. We present 2 cases of strangulated obturator hernia, managed differently with both open and laparoscopic approaches. The diagnostic accuracy of computed tomography scan is highlighted followed by a brief literature review with an emphasis placed on surgical management.
ACCESSION #
77950215

 

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