Hunt L, Morrison C, Lengyel J, Sagar P
John Goligher Colorectal Unit, Leeds General Infirmary, Great George Street, Leeds, West Yorkshire, LS1 3EX, UK.
Hernia. 2009 Jun;13(3):313-5. doi: 10.1007/s10029-008-0438-1. Epub 2008 Oct 28.
An obturator hernia is a rare diagnosis that is frequently missed. Patients present with few clinical signs to identify the cause, apart from symptoms of intestinal obstruction. Therefore, obturator hernias are often diagnosed at exploratory laparotomy. The use of computed tomography (CT) has increased the chance of definitive preoperative diagnosis. However, despite these advances, patients who present acutely will frequently undergo an open procedure rather than laparoscopy. We present a case of an acute obstructed obturator hernia diagnosed in a 62-year-old female that was successfully managed laparoscopically.
闭孔疝是一种罕见的疾病，常常被漏诊。除肠梗阻症状外，患者很少有能明确病因的临床体征。因此，闭孔疝常于剖腹探查术中被诊断出来。计算机断层扫描（CT）的应用增加了术前确诊的几率。然而，尽管有这些进展，急性发病的患者仍常常接受开放手术而非腹腔镜手术。我们报告一例62岁女性急性闭孔疝梗阻病例，该病例通过腹腔镜手术成功治愈。
