Schmidt P H, Bull W J, Jeffery K M, Martindale R G
Department of Surgery, Medical College of Georgia, Augusta 30912, USA.
Am Surg. 2001 Feb;67(2):191-5.
Although it is a rare occurrence among all pelvic hernias diagnosed the obturator hernia continues to be a diagnostic challenge for surgeons today. These patients, who often have multiple concurrent medical problems, are subject to high morbidity and mortality rates resulting from late presentation and delayed surgical intervention. The vast majority of patients with obturator hernias are admitted with signs and symptoms of intestinal obstruction, namely anorexia, nausea, vomiting, constipation, and distension of 2 to 3 days' duration. In this paper, however, we highlight a small subset of obturator hernia patients who present without obstructive symptoms and do well after elective repair. The case reports that follow serve to compare and contrast two very different presentations of this surgical problem.
尽管闭孔疝在所有已诊断的盆腔疝中是罕见的，但对于当今的外科医生来说，它仍然是一个诊断难题。这些患者通常同时存在多种内科问题，由于就诊延迟和手术干预不及时，其发病率和死亡率都很高。绝大多数闭孔疝患者因肠梗阻的症状和体征入院，即厌食、恶心、呕吐、便秘以及持续2至3天的腹胀。然而，在本文中，我们重点介绍一小部分没有梗阻症状且择期修补术后恢复良好的闭孔疝患者。接下来的病例报告用于比较和对比这个外科问题的两种截然不同的表现。
