Naess P A
Kirurgisk avdeling Köpings lasarett.
Tidsskr Nor Laegeforen. 1991 Jan 20;111(2):201.
Incarcerated obturator hernia is rare. One case is described which demonstrates many of the clinical features of the condition. Most affected are elderly women with chronic diseases, and the dominating symptoms are the same as for obstruction of the small bowel. The Howship-Romberg sign is said to be pathognomonic but is present in less than half of the cases. A correct preoperative diagnosis is rare. Resection of the small bowel is often necessary. The high mortality rate is due to the high age and often poor health of the patients, combined with late diagnosis.
闭孔嵌顿性疝较为罕见。本文描述了一例病例，该病例展现了该病的许多临床特征。大多数患者为患有慢性病的老年女性，主要症状与小肠梗阻相同。据说霍希普-龙伯格征具有诊断意义，但不到半数病例会出现该体征。术前正确诊断很少见。小肠切除术往往是必要的。高死亡率归因于患者高龄且健康状况通常较差，再加上诊断延迟。
