Division of General Surgery, Department of Surgery, Cheng Chin General Hospital, Taichung, Taiwan, ROC.
Hernia. 2010 Apr;14(2):203-6. doi: 10.1007/s10029-009-0523-0. Epub 2009 Jun 25.
Obturator hernia is rare and frequently delayed in surgical treatment and, thus, is associated with high morbidity and mortality. It is often found in thin, elderly, multiparous women. We reported a case of early diagnosis due to clinical alert and in-time computed tomography (CT). The patient received laparoscopic surgery and had good postoperative recovery. The regular use of CT for diagnosing nonspecific abdominal complaints associated with pain over the inner thigh, especially in thin, elderly, multiparous women, will result in increased preoperative detection of the obturator hernia.
闭孔疝较为罕见，且常延误手术治疗，因此发病率和死亡率均较高。它常发生于瘦弱、高龄、多产妇的女性。我们报告了一例因临床警觉和及时 CT 检查而早期诊断的病例。患者接受了腹腔镜手术，术后恢复良好。对于与大腿内侧疼痛相关的非特异性腹部不适，尤其是瘦弱、高龄、多产妇的女性，常规使用 CT 进行诊断，可增加术前对闭孔疝的检出率。
