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Malaysian Journal of Medical Sciences
School of Medical Sciences, Universiti Sains Malaysia
ISSN: 1394-195X
Vol. 19, No. 1, 2012, pp. 69-72
Bioline Code: mj12011
Full paper language: English
Document type: Case Report
Document available free of charge

Malaysian Journal of Medical Sciences, Vol. 19, No. 1, 2012, pp. 69-72

 en Two Different Surgical Approaches for Strangulated Obturator Hernias
Siow, Sze Li & Voon, Kenneth Kher Ti

Abstract

Obturator hernia is a rare condition that may present in an acute or subacute setting in correlation with the degree of small-bowel obstruction. Pre-operative diagnosis is difficult, as symptoms are often non-specific. A high index of suspicion should be maintained for emaciated elderly women with small-bowel obstruction without a previous abdominal operation and a positive Howship–Romberg sign. When diagnosis is in doubt, computed tomography scan of the abdomen and the pelvis (if available) or laparotomy should be performed immediately, as high mortality rate is related to the perforation of gangrenous bowels. We present 2 cases of strangulated obturator hernia, managed differently with both open and laparoscopic approaches. The diagnostic accuracy of computed tomography scan is highlighted followed by a brief literature review with an emphasis placed on surgical management.

Keywords
digestive system surgical procedures, gut, intestinal obstruction, laparoscopy, obturator hernia, X-ray computed tomography scanners

 
© Copyright 2012 - Malaysian Journal of Medical Science
Alternative site location: http://www.medic.usm.my/publication/mjms/

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