Obturator hernias are the rarest of all abdominal wall hernias. Multiparous women with a low body mass index (BMI) are at increased risk, and therefore, these hernias are sometimes referred to as "little old lady hernias." They occur more frequently on the right side than on the left, due to the sigmoid colon protecting the left obturator canal.
View Article and Find Full Text PDFThe authors report the case of a woman who presented during her 30th week of pregnancy with a large brain metastasis from a previously undetected metastatic choriocarcinoma. The metastasis caused significant neurological deficit due to mass effect, necessitating rapid intervention. Medical management included a regimen of high-dose corticosteroid medications for 36 hours, followed by cesarean delivery of the fetus and craniotomy to remove the metastatic tumor, chemotherapy and radiation therapy were begun within 1 week postsurgery.
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