Lynch Noel P, Corrigan Mark A, Kearney David E, Andrews Emmet J
Department of Surgery, Cork University Hospital, University College Cork, Cork, Ireland
Department of Surgery, Cork University Hospital, University College Cork, Cork, Ireland.
J Surg Case Rep. 2013 Jul 23;2013(7):rjt050. doi: 10.1093/jscr/rjt050.
Obturator hernia is a rare pelvic hernia that occurs primarily in multiparous, elderly (>70 years of age), thin females. This case highlights the successful laparoscopic mesh repair of an incarcerated obturator hernia in an octogenarian. The authors report a case of an incarcerated obturator hernia in an elderly female with subsequent high-grade small bowel and its successful laparoscopic operative management. A review of the relevant literature was also performed following a search on the online literature databases such as PUBMED and EMBASE. Laparoscopic mesh repair of the incarcerated obturator hernia and an ipsilateral femoral hernia found incidentally was successfully performed. A review of the literature showed a significant burden of morbidity and mortality associated with obturator hernias. Laparoscopic mesh repair has been previously shown to be a safe therapeutic modality. Small bowel obstruction and leg pain in a thin elderly lady should arouse suspicion for an incarcerated obturator hernia. Laparoscopic management of an incarcerated obturator hernia is a feasible and safe therapeutic option.
闭孔疝是一种罕见的盆腔疝，主要发生在经产妇、老年（>70岁）、消瘦的女性中。本病例突出了在一位八旬老人中成功进行腹腔镜疝修补术治疗嵌顿性闭孔疝的过程。作者报告了一例老年女性嵌顿性闭孔疝合并高位小肠梗阻的病例及其成功的腹腔镜手术治疗。在对诸如PUBMED和EMBASE等在线文献数据库进行检索后，还对相关文献进行了回顾。成功进行了腹腔镜修补嵌顿性闭孔疝及偶然发现的同侧股疝。文献回顾显示，闭孔疝与显著的发病率和死亡率相关。腹腔镜疝修补术先前已被证明是一种安全的治疗方式。消瘦老年女性出现小肠梗阻和腿痛应怀疑为嵌顿性闭孔疝。腹腔镜治疗嵌顿性闭孔疝是一种可行且安全的治疗选择。
