AI Article Synopsis
- Obturator hernia (OH) is a rare but serious pelvic hernia that can lead to severe complications, especially in elderly patients, with high rates of strangulation if treatment is delayed.
- An 88-year-old woman initially presented with bowel obstruction and hip pain, diagnosed with bilateral OHs, and was treated conservatively, which resolved her symptoms.
- However, she returned a month later with similar issues, leading to surgery where both hernias were repaired; she recovered well with no recurrence reported during follow-up.
Article Abstract
Obturator hernia (OH) is a rare type of pelvic hernia. It can cause significant morbidity and mortality, especially in the elderly age group. Delayed treatment is associated with high rates of strangulation (25-100%). We present an 88-year-old woman who presented with symptoms of bowel obstruction and right hip pain. Computed tomography (CT) abdomen revealed bilateral OHs and bowel obstruction secondary to the right OH. She was managed conservatively due to her age and co-morbidities and her bowel obstruction subsequently resolved. She was discharged, only to re-present 1 month later with similar complaints. A repeat CT scan revealed bilateral OHs and bowel obstruction due to the left OH. She underwent midline laparatomy and both OHs were reduced. The right OH was fixed with polypropylene mesh plug and the left OH was fixed with primary closure. The patient recovered and no recurrence was noted during follow-up.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4164190 | PMC |
| http://dx.doi.org/10.1093/jscr/rju009 | DOI Listing |
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