keyword
https://read.qxmd.com/read/37180335/a-rare-case-of-left-sided-obturator-hernia-diagnosed-by-computed-tomography
#21
Manisha Aryal, Suraj Keshari, Archana Pandey, Abhishek Pandey, Ishwor Paudel
Obturator hernia is a rare condition that is difficult to detect clinically. We highlight the importance of a CT scan in establishing an early diagnosis of an obturator hernia, effective surgical intervention planning, thereby enhancing the result.
May 2023: Clinical Case Reports
https://read.qxmd.com/read/37145045/incarcerated-obturator-hernia-an-extremely-rare-cause-of-intestinal-obstruction-case-series
#22
JOURNAL ARTICLE
İsmail Aydın, Ilker Sengul, Selahattin Vural, Tuğrul Kesicioğlu, Demet Sengul
Protrusion of abdominal contents through the obturator foramen is a rare type of abdominal wall hernia. It is usually seen unilaterally and right-sided. Predisposing factors are old age, high intra-abdominal pressure, pelvic floor dysfunction, and multiparity. Obturator hernia has one of the highest mortality rates of all abdominal wall hernias, with a difficult diagnostic process that can be misleading even for the most experienced surgeons. Therefore, to suspect and easily diagnose an obturator hernia, it is important to understand its characteristics...
May 2023: Turkish Journal of Trauma & Emergency Surgery: TJTES
https://read.qxmd.com/read/37113834/obturator-hernia-the-little-old-lady-s-hernia-diagnosed-via-computed-tomography-a-case-report
#23
Sujan Bohara, Samikshya Karki, Anu Gautam, Binit U Regmi, Sabin Rimal, Laxman Khadka, Anuj Pokharel, Bibek Gurung, Sushil B Rawal
UNLABELLED: Obturator hernia is an infrequent clinical entity of abdominal wall hernia, accounting for an incidence rate ranging from 0.073 to 2.2% of all hernias and being responsible for 0.2-1.6% of all cases of mechanical intestinal obstruction. The computed tomography (CT) scan, as an imaging modality, is critical in improving the diagnostic rate of obturator hernia. CASE PRESENTATION: The authors herein report an 87-year-old thin male patient with a known history of chronic obstructive pulmonary disease who presenting with complaints of abdominal pain for 3 days and constipation for 2 days, as well as one episode of vomiting without any features of peritoneal irritation, which was diagnosed early as a right-sided obturator hernia via CT and managed with exploratory laparotomy with hernia reduction and polypropylene mesh repair...
April 2023: Annals of Medicine and Surgery
https://read.qxmd.com/read/37015958/manual-reduction-for-incarcerated-obturator-hernia
#24
JOURNAL ARTICLE
Yusuke Gokon, Yusuke Ohki, Takahiro Ogino, Keiichiro Hatoyama, Takahiro Oikawa, Kenji Shimizu, Kazunori Katsura, Takayuki Abe, Koichiro Sato
Emergent surgery is a common approach for incarcerated obturator hernias, with high morbidity and mortality rates. Moreover, there have been reports of elective surgery cases after noninvasive manual reduction. For a decade, the initial approach in our institution is also manual reduction unless bowel viability is poor. This study aimed to clarify the efficacy and safety of manual reduction followed by elective surgery. We retrospectively reviewed 50 cases of incarcerated obturator hernia from 2010 to 2022 at Iwate Prefectural Iwai Hospital...
April 4, 2023: Scientific Reports
https://read.qxmd.com/read/36998263/female-with-multiple-groin-pathologies-inguinal-hernia-containing-fallopian-tube-obturator-hernia-and-subcutaneous-endometrioma
#25
Elizabeth Skalkos, Jason Diab, Christophe Berney
Groin lumps in females can be challenging due to unique anatomy and vast differential diagnostic pathologies. We report the case of a 39-year-old female presenting with a six-month history of painful left groin lump. Laparoscopic total extraperitoneal (TEP) hernia repair showed an incarcerated left indirect inguinal hernia sac containing part of the left fallopian tube and fimbrial cyst, a left fat-containing obturator hernia and associated with ectopic subcutaneous inguinal endometrioma. The anatomical differences in women suggest that individualized preoperative imaging modalities such as magnetic resonance imaging have a place before considering laparoscopic hernia repair, to successfully identify and synchronously treat any concomitant pathologies...
March 2023: Journal of Surgical Case Reports
https://read.qxmd.com/read/36989633/laparoscopic-repair-of-an-obturator-hernia-a-case-report-of-a-contemporary-surgical-technique
#26
Danjel Miladinovic, Kenneth Buxey
INTRODUCTION AND IMPORTANCE: Small bowel obstruction secondary to an obturator hernia is a rare presentation associated with high mortality. Prior to the development of laparoscopic surgery, a laparotomy would have been the management technique of choice for this rare presentation. CASE PRESENTATION: An elderly female with a bowel obstruction secondary to an obturator hernia presented via the Emergency Department. A laparoscopic approach with the use of a haemostatic gauze plug was performed to repair the defect...
April 2023: International Journal of Surgery Case Reports
https://read.qxmd.com/read/36942288/a-rare-case-of-intestinal-internal-hernia-beneath-the-external-iliac-artery-following-radical-cystectomy
#27
Lachlan Allan, Dinushi Perera, Richard Curran
Gastrointestinal complications following radical cystectomy (RC) are a common occurrence, with small bowel obstruction (SBO) a known complication. Limited cases have been reported of SBO following RC due to internal herniation of the small intestine around the ureter, ileal conduit, obturator nerve and, as a consequence of retroperitoneal lymphadenectomy, even the abdominal vasculature. We present a rare case in which intestinal herniation beneath the external iliac artery (EIA) resulted in a closed-loop SBO with ischaemia and necrosis...
March 2023: Journal of Surgical Case Reports
https://read.qxmd.com/read/36927970/obturator-hernia-in-a-patient-undergoing-hemodialysis-a-case-report
#28
JOURNAL ARTICLE
Tomoaki Tokoyoda, Takahiro Inagaki, Yuki Aoki, Takeshi Okamoto, Takashi Nakajima, Keisuke Teramoto
Obturator hernia is a rare condition that commonly affects frail older women. A 54-year-old woman presented to our hospital with left hip joint pain. She had suffered a left pubic bone fracture and commenced maintenance hemodialysis. Pelvic computed tomography (CT) showed an incarcerated small intestine through the left obturator foramen, while abdominal CT showed marked intestinal dilatation. She underwent emergency laparotomy, and the incarcerated small intestine was found to be necrotic. Partial small intestinal resection and bilateral obturator hernioplasty were performed...
March 15, 2023: Internal Medicine
https://read.qxmd.com/read/36779097/a-rare-cause-of-medial-thigh-pain-does-point-of-care-ultrasound-scan-have-a-role-in-the-diagnosis-of-obturator-hernia-in-the-emergency-room
#29
Yakub W Ibrahim, Philip Tabi, Abdurrahman Yusuf
Obturator hernia describes the protrusion of the intra-abdominal viscus through the obturator foramen. It accounts for 0.05-1.4% of all hernias. We present a case of a 72-year-old female, with right-sided inner thigh pain of sudden onset who was subsequently diagnosed with an obturator hernia in the emergency room with point-of-care ultrasound (POCUS). She subsequently had laparoscopic surgery and improved without complications.
January 2023: Curēus
https://read.qxmd.com/read/36705222/early-ct-ameliorates-the-diagnostic-dilemma-of-little-old-lady-s-hernia-a-case-report
#30
JOURNAL ARTICLE
Subodh Ghimire, Sunil Kumar Sharma Dhakal, Pranil Rai, Nirvan Rai
UNLABELLED: Encountering an obturator hernia itself is a rare entity for practicing surgeons globally. Synonymously known as the "old lady's hernia" is usually seen in fragile geriatric multiparous female patients. We share our experience of this rare entity where the patient presented with features of small bowel obstruction. Her diagnosis was delayed in the previously attended other centre as the possibility of an obturator hernia was overlooked. A timely clinical examination of the patient complemented by a computed tomography scan of the abdomen and pelvis helped us to obtain a diagnosis and proceed with immediate surgery...
August 1, 2022: JNMA; Journal of the Nepal Medical Association
https://read.qxmd.com/read/36605339/laparoscopic-management-of-obturator-hernia-in-the-setting-of-intestinal-obstruction-a-report-of-two-cases-and-review-of-literature
#31
Ameet Kumar, K M Mehdi
Owing to its rarity and non-specific clinical features, a diagnosis of obturator hernia is often delayed until the patient presents with intestinal obstruction. Often the diagnosis is made on a Computed Tomography (CT) scan or during exploratory laparotomy. While a laparoscopic approach is well described in an elective scenario, open surgery through a midline laparotomy has been the preferred approach for obturator hernia with intestinal obstruction. However, a few cases of obstructed obturator hernia have been reported that have been managed laparoscopically...
January 2023: Medical Journal, Armed Forces India
https://read.qxmd.com/read/36317668/combined-transposition-of-internal-obturator-and-superficial-gluteal-muscles-for-perineal-hernia-treatment-in-dogs-17-cases-2017-2020
#32
JOURNAL ARTICLE
G Carbonell Rosselló, A Turner, C Macias, J M Ramírez
OBJECTIVES: To report the results of the combined transposition of the internal obturator muscle and superficial gluteal muscle for perineal hernia treatment in dogs. MATERIALS AND METHODS: Retrospective case series of dogs treated with this technique from November 2017 to May 2020, including pre- and post-operative clinical findings, outcome and complications. RESULTS: Seventeen dogs were included in the study. Twelve dogs were presented with unilateral perineal hernia and five dogs with bilateral perineal hernias...
November 1, 2022: Journal of Small Animal Practice
https://read.qxmd.com/read/36316827/evaluation-of-4-hand-reduction-for-obturator-hernia-with-the-guidance-of-sonography-as-a-new-treatment-strategy-a-retrospective-study
#33
JOURNAL ARTICLE
Yuki Togawa, Kyohei Kamihata, Yoshio Nagahisa, Kazuyuki Kawamoto
To evaluate the effectiveness of 4-hand reduction for obturator hernia with the guidance of sonography (FROGS) as a new treatment strategy for obturator hernia. Since November 2019, FROGS was performed for all patients with obturator hernia at our emergency department. We retrospectively compared the clinical data of 20 patients who underwent FROGS (after FROGS group) to those of 23 patients who did not (before FROGS group). All patients except one were female. The male-to-female ratio, age, duration of symptoms, lesion site, and predisposing factors did not significantly differ between groups...
October 28, 2022: Medicine (Baltimore)
https://read.qxmd.com/read/36213131/contemporary-management-of-obturator-hernia
#34
Taylor Anderson, Kovi E Bessoff, David Spain, Jeff Choi
No abstract text is available yet for this article.
2022: Trauma Surgery & Acute Care Open
https://read.qxmd.com/read/36086938/mechanical-intestinal-obstruction-in-underweight-elderly-women-due-to-an-incarcerated-obturator-hernia
#35
JOURNAL ARTICLE
Ke-Kang Sun, Yong-You Wu
BACKGROUND: Obturator hernia is an infrequent pelvic hernia observed in elderly, emaciated and multiparous women. It often presents with nonspecific clinical symptoms, making it difficult to diagnose. METHODS: We conducted a retrospective descriptive study on 11 patients admitted to our hospital for obturator hernia from 2009 to 2020. RESULTS: All the patients were diagnosed with intestinal obstruction due to incarcerated obturator hernia preoperatively...
October 2022: ANZ Journal of Surgery
https://read.qxmd.com/read/35978656/recurrent-abdominal-pain-in-an-older-woman-enlarged-oe-p-gap-on-computed-tomography-as-an-indicator-of-non-strangulated-obturator-hernia
#36
Yuita Fukuyama, Kazuki Toda, Hiraku Funakoshi
Obturator hernia (OH) is a relatively rare abdominal wall hernia with a high mortality rate. The diagnosis of OH is challenging because of symptomatic variations and spontaneous reduction in hernia on imaging. An 89-year-old woman presented to our emergency department with pain in the abdomen and right groin. Computed tomography (CT) revealed an incarcerated small bowel in the gap between the obturator externus and pectineus (OE-P gap). Symptoms disappeared after manual reduction. She experienced these same symptoms intermittently during the past year and underwent abdominal CT 4 times after disappearance of symptoms...
August 2022: Journal of the American College of Emergency Physicians open
https://read.qxmd.com/read/35902487/a-case-of-acute-appendicitis-incarcerated-in-obturator-hernia
#37
JOURNAL ARTICLE
Rei Mizuno, Go Takeuchi, Yoko Ueda, Yuki Nomura, Shinji Nakamura, Atsuhito Omori, Riki Ganeko, Kyoichi Hashimoto, Yoshihiro Kubota, Satoshi Nagayama
An 85 year-old woman was transferred with a chief complaint of right thigh pain persisting for 5 days. Abdominal contrast-enhanced computed tomography clearly depicted a swollen appendix incarcerated in the right obturator cavity. She underwent an emergent laparoscopic appendectomy and the simultaneous repair of the obturator hernia. At laparoscopy, appendix was found to be incarcerated in the right obturator canal. The incarcerated appendix was successfully flushed out from the sac by spurting saline into the obturator hernia sac through the catheter inserted into the hernia sac...
July 28, 2022: Clinical Journal of Gastroenterology
https://read.qxmd.com/read/35840129/outcome-of-surgical-treatment-of-perineal-hernia-in-cats-36-cases-2013-2019
#38
JOURNAL ARTICLE
M W L Hubers, J J W G Vink, H N Brissot, B E Sjollema, N J van Klaveren
OBJECTIVES: To report the clinical presentation, complications, and long-term outcomes of cats treated for perineal hernia with modified internal obturator muscle transposition. METHODS: The medical records of cats surgically treated for perineal hernia between 2013 and 2019 were reviewed and an owner questionnaire was conducted to determine long-term outcome. RESULTS: Thirty-six cats were included in the study: 34 had bilateral and two unilateral hernias...
July 15, 2022: Journal of Small Animal Practice
https://read.qxmd.com/read/35644816/strangulated-small-bowel-obstruction-caused-by-isolated-obturator-nerve-and-pelvic-vessels-after-pelvic-lymphadenectomy-in-gynecologic-surgery-two-case-reports
#39
JOURNAL ARTICLE
Riko Ideyama, Yoshihisa Okuchi, Kenji Kawada, Yoshiro Itatani, Rei Mizuno, Koya Hida, Kazutaka Obama
BACKGROUND: Although small bowel obstruction (SBO) is a major complication occurring after abdominal surgery, few reports have described strangulated SBO after pelvic lymphadenectomy (PL). This report describes two cases of strangulated SBO caused by a skeletonized obturator nerve and pelvic vessels after laparoscopic PL during gynecologic surgery. CASE PRESENTATION: Case 1: A 57-year-old woman with endometrial cancer underwent a laparoscopic semi-radical total hysterectomy with PL...
May 30, 2022: Surgical Case Reports
https://read.qxmd.com/read/35603343/prevention-and-management-of-intraoperative-complication-during-single-incision-laparoscopic-totally-extraperitoneal-repair
#40
JOURNAL ARTICLE
Sungwoo Jung, Jin Ho Lee, Jae Uk Chong, Hyung Soon Lee
Serious complications related to hernia surgeries have rarely been reported. One meta-analysis comparing laparoscopic and open mesh repair reported that 0.4% of potentially serious operative complications were reported. Previous studies have reported that uncommon serious intraoperative complications more frequently occur during laparoscopic inguinal hernia repairs. One study has shown that patients with history of lower abdominal surgery are at an increased risk of visceral injury during laparoscopic hernia repair...
March 15, 2022: Journal of minimally invasive surgery
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