Kisaoglu Abdullah, Ozogul Bunyami, Yuce Ihsan, Bayramoglu Atif, Atamanalp Sabri Selcuk
Department of General Surgery, Ataturk University Faculty of Medicine, Erzurum, Turkey.
Department of Radiology, Erzurum Regional Training and Research Hospital, Erzurum, Turkey.
Eurasian J Med. 2014 Oct;46(3):224-6. doi: 10.5152/eajm.2014.56.
Obturator hernia is a rare hernia in the world, diagnosed late since it has no specific symptoms and findings and generally occur in thin and old women with comorbidity.For this reason obturator hernia has high morbidity and mortality rates. In this study, we present an obturator hernia case that Howship-Romberg sign is positive and has typical appearance in computerized tomography. Laparotomy was performed on 89 years old female patient with body mass index 18.08 kg/m(2) by low middle line incision. Following the segmentectomy to the strangulated small bowel loop, obturator canal is repaired by retroperitoneal application. No complication occurred in the postoperative period. Obturator hernia should be taken into consideration in old and thin female patients with intestinal obstruction. Computerized tomography should be performed for early diagnosis of the obturator hernia.
闭孔疝是一种在世界范围内较为罕见的疝，由于其没有特异性症状和体征，通常在合并其他疾病的消瘦老年女性中发病，所以诊断往往较晚。因此，闭孔疝的发病率和死亡率都很高。在本研究中，我们报告了一例闭孔疝患者，其霍希普-龙伯格征阳性，在计算机断层扫描中有典型表现。对一名89岁、体重指数为18.08kg/m²的女性患者，经中下腹部正中切口行剖腹探查术。对绞窄的小肠袢进行节段切除后，经腹膜后途径修补闭孔管。术后未发生并发症。对于患有肠梗阻的消瘦老年女性患者，应考虑闭孔疝的可能。应进行计算机断层扫描以早期诊断闭孔疝。
