A rare cause of intestinal obstruction: obturator hernia

Abstract

Abstract

Obturator hernia is a rare pelvic hernia which represents 1% of all hernias. Obturator hernia, which is generally observed in elderly thin women having an accompanying disease, is diagnosed late since it has no specific symptoms and findings. For this reason, morbidity and mortality rates are high in obturator hernia. Of the patients with obturator hernia, 0.4% have mechanical intestinal obstruction. The most frequent finding of obturator hernia is intestinal obstruction with strangulation.  Treatment of obturator hernia is emergent surgery.  In this case report, we present an obturator hernia case having a positive Howship-Romberg sign and typical appearance in computerized tomography.

Keywords: Obturator hernia, intestinal obstruction, computerized tomography, Howship-Romberg sign

Özet

Obturator herni tüm hernilerin %1 kadarını oluşturan nadir bir durumdur. Çoğunlukla eşlik eden bir hastalığı olan yaşlı ve zayıf kadınlarda görülür. Spesifik belirti ve bulguları olmadığı için geç tanı konur ve mortalite ve morbidite yüksektir. Olguların %0,4’ünde mekanik intestinal obstrüksiyon gelişir. En sık bulgusu strangülasyon ile birlikte olan intestinal obstrüksiyondur. Tedavisi acil cerrahi olarak yapılır. Bu olgu sunumunda bilgisayarlı tomografi ile pozitif Howship-Romberg bulgusu ve atipik görüntü izlenen bir obturator herni olgusu irdelenmiştir.

Anahtar sözcükler: Obturator herni, intestinal obstrüksiyon, bilgisayarlı tomografi, Howship-Romberg bulgusu

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