Pavlidis Efstathios, Kosmidis Christoforos, Sapalidis Konstantinos, Tsakalidis Alexandros, Giannakidis Dimitrios, Rafailidis Vasileios, Koimtzis Georgios, Kesisoglou Isaak
Third Surgical Department, Aristotle University of Thessaloniki, Medical School, AHEPA University Hospital, Kyriakidi 1, Thessaloniki, Greece.
Department of Radiology, Aristotle University of Thessaloniki, Medical School, AHEPA University Hospital, Kyriakidi 1, Thessaloniki, Greece.
J Surg Case Rep. 2018 Jul 3;2018(7):rjy161. doi: 10.1093/jscr/rjy161. eCollection 2018 Jul.
Obturator hernias are exceedingly rare in surgical routine, constituting 0.073% of all intra-abdominal hernias in the West and 1% in the far East. Commonly known as 'little old lady's hernia', obturator hernias are usually seen in frail, octogenarian multiparous women. This case report discusses an 85-year-old female who had symptoms of acute bowel obstruction; thanks to high degree of clinical suspicion and aided by a computed tomography (CT) of abdomen and pelvis, an incarcerated right obturator hernia was diagnosed preoperatively and treated successfully. Obturator hernia is a rare condition associated with a high rate of morbidity and mortality. CT scan is the most accurate imaging method for pre-operative diagnosis. Early diagnosis and surgical intervention are fundamentals to lead to better outcomes for the patients.
闭孔疝在外科常规手术中极为罕见，在西方占所有腹内疝的0.073%，在远东地区占1%。闭孔疝通常被称为“老妇人疝”，多见于体弱的老年经产妇。本病例报告讨论了一名85岁女性，她有急性肠梗阻症状；由于高度的临床怀疑，并借助腹部和盆腔计算机断层扫描（CT），术前诊断为嵌顿性右闭孔疝并成功治疗。闭孔疝是一种罕见疾病，发病率和死亡率很高。CT扫描是术前诊断最准确的成像方法。早期诊断和手术干预是为患者带来更好预后的基础。
