Obturator Hernia: A Rare Condition with Common Surgical Symptoms

Authors

  • Fitreena Anis Amran AMDI, USM
  • Shahidah Che Alhadi Department of Surgery, International Islamic University
  • Mohd Nizam Md Hashim Department of Surgery, Universiti Sains Malaysia
  • Wan Zainira Wan Zain
  • Wong Pak Khai Department of Surgery, Universiti Sains Malaysia

Keywords:

intestinal obstruction, obturator hernia, pelvic hernia

Abstract

Hernia is a common surgical problem. However, worldwide incidence of obturator hernia is <1% of all hernia cases, occurring more commonly in thin, elderly and multiparous female. An 82 years old lady presented with bowel obstruction sign and symptoms for 4 days duration. Imaging study, computed tomography with enhanced contrast (CECT) of abdomen and pelvis showed small bowel obstruction secondary to left obturator hernia. Emergency abdominal exploration with left transverse transperitoneal approach was performed. Intraoperatively, anti mesenteric part of ileal wall was incarcerated through the left obturator foramen causing small bowel obstruction and it was resected with end to end anastomosis. She recovered well and was discharged on postoperative day 7. The signs and symptoms of obturator hernia are non-specific. Most cases are presented with symptoms of intestinal obstruction, resulting in diagnostic difficulty for this rare condition. Delay in diagnosis and surgical intervention contribute to poorer outcomes. 

Author Biography

  • Fitreena Anis Amran, AMDI, USM
    Cluster Oncology

References

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Published

2018-06-08

Issue

Vol. 3 No. 1 (2018): June 2018

Section

Journal of Biomedical and Clinical Sciences

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