Chan Ping Keung, Ng Tze Pui, Lam Ying Lee
Department of Orthopaedics and Traumatology, Queen Mary Hospital, Hong Kong.
J Orthop Surg (Hong Kong). 2012 Dec;20(3):398-401. doi: 10.1177/230949901202000329.
We report an 86-year-old women with an obturator hernia presenting with recurrent right hip pain. Obturator hernia is a diagnostic challenge because the hernial mass is usually concealed beneath the pectineus. It should be suspected in emaciated, multiparous, elderly women presenting with unexplained pain in the groin, hip, thigh, or knee. High levels of clinical suspicion of the high-risk patients and recourse to investigation by computed tomography are important, as delay in diagnosis and treatment is associated with increased morbidity and mortality.
我们报告了一例86岁患有闭孔疝的女性,其表现为反复的右髋部疼痛。闭孔疝是一项诊断挑战,因为疝块通常隐藏在耻骨肌下方。对于消瘦、经产妇、老年女性出现腹股沟、髋部、大腿或膝部不明原因疼痛时,应怀疑此病。对高危患者保持高度临床怀疑并借助计算机断层扫描进行检查很重要,因为诊断和治疗延迟会增加发病率和死亡率。