Obstructed obturator hernia with laparoscopic approach repair

Khoo, Kah Seng and Abdul Manan, M.A. and Wong, W.J. (2022) Obstructed obturator hernia with laparoscopic approach repair. Journal of Health and Translational Medicine, 25 (1). 40 -43. ISSN 18237339, DOI https://doi.org/10.22452/jummec.vol25no1.7.

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Abstract

Obturator hernia is an uncommon intra-abdominal hernia with the incidence of 0.05-1.4 of all hernias. Diagnosis is often delayed as the clinical picture is usually non-specific and poses a diagnostic challenge to clinicians. This report describes a case of an 80-year-old woman, who presented to the Emergency Department with left lower quadrant abdominal pain that radiates to the left hip region for one day. Plain abdominal radiography showed dilated loops of small bowel in the pelvic region. Contrasted Enhanced Computed Tomography (CECT) of abdomen and pelvis demonstrated left obturator hernia with small bowel obstruction. Emergency laparoscopic obturator hernia repair was performed. Intraoperative findings confirmed a left incarcerated obturator hernia. The small bowel was reduced and viable. Subsequently, a primary closure of the hernia orifice was performed. This case report emphasizes the successful use of a laparoscopic approach in obstructed obturator hernia and its feasibility in an emergency setting. © 2022, Faculty of Medicine, University of Malaya. All rights reserved.

Item Type: Article
Funders: None
Uncontrolled Keywords: Abdominal pain; Abdominal radiography; aged; Article; Biochemical analysis; Bladder distension; Case report; Clinical article; Computer assisted tomography; Contrast enhancement; Digital rectal examination; Echography; Female; Human; Inguinal hernia; Intestine obstruction; Laparoscopic surgery; Obturator hernia; Vomiting
Subjects: R Medicine > RC Internal medicine
Divisions: Faculty of Medicine
Depositing User: Ms. Juhaida Abd Rahim
Date Deposited: 28 Nov 2023 04:02
Last Modified: 28 Nov 2023 04:02
URI: http://eprints.um.edu.my/id/eprint/44130

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