Bilateral Obturator Hernia Diagnosed by Computed Tomography: A Case Report with Review of the Literature

Obturator hernia is a rare form of abdominal hernia and a diagnostic challenge. It is commonly seen in elderly thin females. Its diagnosis is often delayed with resultant increased morbidity and mortality due to bowel ischemia/gangrene. It is mistakenly diagnosed as femoral or inguinal hernia on USG...

Full description

Saved in:
Bibliographic Details
Main Authors: Sanjay M. Khaladkar, Anubhav Kamal, Sahil Garg, Vigyat Kamal
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Radiology Research and Practice
Online Access:http://dx.doi.org/10.1155/2014/625873
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Obturator hernia is a rare form of abdominal hernia and a diagnostic challenge. It is commonly seen in elderly thin females. Its diagnosis is often delayed with resultant increased morbidity and mortality due to bowel ischemia/gangrene. It is mistakenly diagnosed as femoral or inguinal hernia on USG. Computed tomography is diagnostic and is a valuable tool for preoperative diagnosis. This report presents a case of 70-year-old thin female presenting with intestinal obstruction due to left sided obstructed obturator hernia. USG showed small bowel obstruction and an obstructed left sided femoral hernia. CT scan of abdomen and pelvis with inguinal and upper thigh region disclosed left sided obturator hernia. It also detected clinically occult right sided obturator hernia. Early diagnosis and surgical treatment contribute greatly in reducing the morbidity and mortality rate.
ISSN:2090-1941
2090-195X