Zheng Long-Zhi, Zheng Chang-Yue, Zu Bin, Lin Wei
Department of Gastrointestinal Surgery, The Affiliated Hospital of Putian University, Putian, Fujian Province, China.
J Coll Physicians Surg Pak. 2020 Feb;30(2):210-212. doi: 10.29271/jcpsp.2020.02.210.
Obturator hernia is a rare abdominal wall hernia and is one of the rare causes of intestinal obstruction. Due to lack of specific clinical symptoms in the early stage, and the deep position of hernia absence of surface swelling, few cases are diagnosed definitively before surgery. Therefore, obturator hernia is still a serious disease in clinical practice, with high mortality and morbidity. Herein, we report an 85-year female who was hospitalised with bowel obstruction. Preoperative computed tomography scan was performed, which revealed an incarcerated obturator hernia preoperatively; and it was treated successfully. This report reviews the diagnosis and treatment of obturator hernia by describing its anatomy, clinical manifestations and clinical signs. Increased awareness and proper management of the disease will lead to a decline in mortality and morbidity.
闭孔疝是一种罕见的腹壁疝，也是肠梗阻的罕见病因之一。由于早期缺乏特异性临床症状，且疝位置深在无体表肿胀，很少有病例在手术前得到明确诊断。因此，闭孔疝在临床实践中仍是一种严重疾病，死亡率和发病率都很高。在此，我们报告一名85岁因肠梗阻住院的女性患者。术前行计算机断层扫描，术前诊断为嵌顿性闭孔疝，并成功进行了治疗。本报告通过描述闭孔疝的解剖结构、临床表现和体征，对其诊断和治疗进行了综述。提高对该疾病的认识并进行恰当处理将降低死亡率和发病率。
