Preoperative Diagnosis of Strangulated Obturator Hernia Using CT
Journal of the Korean Surgical Society
;
: 216-219, 2001.
Article
Dans Coréen
| WPRIM
| ID: wpr-167202
ABSTRACT
Obturator hernia is a rare pelvic hernia, occuring most frequently in elderly, debilitated women. Because of nonspecific symptoms, the diagnosis of obturator hernia is often delayed until laparotomy for bowel obstruction. This leads to high bowel resection and mortality rates, which represents a diagnostic and therapeutic challenge for surgeons today. We experienced an unusual case of right obturator hernia with strangulation in an 81-year-old female patient who presented with intermittent generalized, particularly right lower quadrant, abdominal pain and distension. The hernia was diagnosed by computed tomography (CT) scan and repaired using the lower midline transperitoneal approach. CT scan in the evaluation of patients with nonspecific intermittent gastrointestinal symptoms leads to a diagnosis of occult hernia. We report these findings with a brief review of the literature focusing on finding indicators leading to early diagnosis and treatment.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Tomodensitométrie
/
Douleur abdominale
/
Mortalité
/
Iléus
/
Diagnostic précoce
/
Diagnostic
/
Hernie
/
Hernie obturatrice
/
Laparotomie
Type d'étude:
Etude diagnostique
/
Étude pronostique
/
Étude de dépistage
Limites du sujet:
Adulte très âgé
/
Aged80
/
Femelle
/
Humains
langue:
Coréen
Texte intégral:
Journal of the Korean Surgical Society
Année:
2001
Type:
Article
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