Background: Obturator hernia is a rare type of pelvic hernia that often presents with vague symptoms that can easily be confused with other conditions. Delayed diagnosis can lead to increased morbidity and complications.
Case Presentation: A 67-year-old female with a history of rheumatoid arthritis presented with escalating right knee pain, unresponsive to increasing doses of opioids. She also reported mild abdominal discomfort. A knee X-ray was unremarkable, but an abdominopelvic CT scan revealed an incarcerated obturator hernia. Emergent laparoscopic transabdominal pre-peritoneal (TAPP) repair was performed, leading to significant postoperative improvement in her knee pain.
Discussion: This case highlights the unusual presentation of obturator hernia with referred knee pain, which could often be misdiagnosed as a musculoskeletal issue. The likely mechanism is obturator nerve impingement caused by the hernia, and surgical intervention successfully resolved the symptoms.
Conclusion: Clinicians should consider obturator hernia in the differential diagnosis of unexplained knee pain, particularly in patients with risk factors like advanced age, low body weight and the female gender, to avoid delayed diagnosis and prevent serious complications.
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http://dx.doi.org/10.1016/j.ijscr.2024.110602 | DOI Listing |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11647657 | PMC |
Pak J Med Sci
December 2024
Zlatibor Loncar, MD, PhD, Associate Professor of Surgery, Medical Faculty, University of Belgrade; Clinic for Emergency Surgery, Emergency Center, University Clinical Center of Serbia, Belgrade, Serbia.
Hernia
December 2024
Gastroenterological Surgery, Kameda Medical Center, 929 Higashi-Cho, Kamogawa, Chiba, 296-8602, Japan.
Hernia
December 2024
Department of General and Gastroenterological Surgery, Showa University Fujigaoka Hospital, 1-30, Fujigaoka, Aoba-Ku, Yokohama, 227-8501, Japan.
Purpose: To clarify indications for treating incidental obturator hernia (IOH) detected during laparoscopic groin hernia repair by comparing features of IOH with obturator hernia (OH) complicated by incarceration.
Methods: Twenty patients who underwent laparoscopic OH repair between January 2017 and July 2024 were included in this retrospective study. They were divided into groups with incarceration or a past history of incarceration (the OH group) or without incarceration (the IOH group).
Int J Surg Case Rep
November 2024
Department of General Surgery, Frankston Hospital, Peninsula Health, Victoria, Australia.
Background: Obturator hernia is a rare type of pelvic hernia that often presents with vague symptoms that can easily be confused with other conditions. Delayed diagnosis can lead to increased morbidity and complications.
Case Presentation: A 67-year-old female with a history of rheumatoid arthritis presented with escalating right knee pain, unresponsive to increasing doses of opioids.
J Belg Soc Radiol
November 2024
Vrije Universiteit Brussel (VUB), Universitair Ziekenhuis Brussel (UZ Brussel), Department of Radiology, Laarbeeklaan 101, 1090 Brussels, Belgium.
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