RESUMO
La hernia obturatriz tiene una baja incidencia, predomina en mujeres ancianas desnutridas, habitualmente con signos y síntomas poco específicos, situación que requiere resolución quirúrgica precoz para disminuir la morbi-mortalidad. Materiales y métodos: Análisis retrospectivo observacional sobre tres casos de oclusión intestinal por hernia obturatriz en el servicio de Cirugía General del Hospital Italiano de Córdoba entre el período comprendido desde enero de 2013 a diciembre de 2015. Resultados: Los tres pacientes fueron diagnosticados por TC en el preoperatorio, en dos se debió realizar resección intestinal y entero-entero anastomosis. Conclusión: la cirugía de urgencia es el tratamiento ideal
Obturator hernia is a rare type of hernia. Because of its low incidence, predominantly in elderly malnourished women, usually with non- specific signs and symptoms, diagnosis and treatment are often delayed. This situation requires early surgical treatment to prevent serious morbidity and mortality associated with this entity. Methods: Retrospective observational analysis of 3 cases of intestinal occlusion due to complicated obturator hernia at the Department of General Surgery, Hospital Italiano Córdoba, Argentina, between January 2013 to December 2015. Results: All three cases were diagnosed preoperatively by CT , but in two of the three cases it was due to perform an intestinal resection with anastomosis. Conclusion: The surgery performed early after admission, is the treatment of choice.
Assuntos
Humanos , Feminino , Idoso , Idoso de 80 Anos ou mais , Tomografia Computadorizada por Raios X , Indicadores de Morbimortalidade , Laparoscopia/métodos , Hérnia Abdominal/diagnóstico , Hérnia Abdominal/terapia , Hérnia do Obturador/cirurgia , Hérnia do Obturador/terapia , Obstrução Intestinal/cirurgiaRESUMO
Traumatic abdominal wall hernia is considered a rare clinical entity; even rarer is abdominal wall hernia due to handle bar injury. We report such a case in an 11-year-old child sustaining handlebar injury due to fall off a bicycle. Non-operative management plan was adopted resulting in complete closure of the defect [hernia] in approximately two months' time