Strangulated obturator hernia - an unusual presentation of intestinal obstruction
JCPSP-Journal of the College of Physicians and Surgeons Pakistan. 2009; 19 (9): 582-583
in English
| IMEMR
| ID: emr-102007
ABSTRACT
An 81-year-old Caucasian emaciated female presented with 3 days history of colicky abdominal pain nausea, projectile vomiting and abdominal distension. A pre-operative diagnosis of mechanical bowel obstruction was made. The absence of characteristic clinical signs in this thin elderly woman with a small bowel obstruction failed to provide a pre-operative diagnosis. She underwent a midline laparotomy and resection and anastomosis of small bowel and repair of the strangulated right obturator hernia. The high mortality rate associated with this type of abdominal hernias requires a high index of suspicion to facilitate rapid diagnosis and prompt surgical intervention if the survival rate is to be improved
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Index:
IMEMR (Eastern Mediterranean)
Main subject:
Hernia
/
Intestinal Obstruction
/
Laparotomy
Type of study:
Case report
Limits:
Female
/
Humans
Language:
English
Journal:
J. Coll. Physicians Surg. Pak.
Year:
2009
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