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闭孔疝:病例报告

Obturator hernia: case report.

作者信息

Mindaye Esubalew Taddese, Giduma Dereje, Tufa Tesfaye H

机构信息

Department of Surgery, Saint Paul's Hospital Millennium Medical College, Swaziland Street 1271 Addis Ababa, Ethiopia.

Department of Surgery, Arsi University College of Health Sciences, Assela, Ethiopia.

出版信息

J Surg Case Rep. 2020 Oct 19;2020(10):rjaa389. doi: 10.1093/jscr/rjaa389. eCollection 2020 Oct.

Abstract

Obturator hernia, protrusion of abdominal content through the obturator foramen, is a rare type of abdominal wall hernia. Late patient presentation is associated with significant morbidity and mortality. We present rare case of obturator hernia causing small bowel obstruction in a 65-year-old-female patient. She presented with crampy abdominal pain, nausea and vomiting of three days duration. She was diagnosed with acute surgical abdomen and managed surgically at Arsi University College of health sciences, Assela, Ethiopia. Intraoperative finding revealed left-side obturator hernia, which is an extremely rare occurrence. Despite delayed presentation, our patient had smooth postoperative recovery. Obturator hernia is exceedingly rare, and it poses a diagnostic challenge as signs and symptoms are often nonspecific, making a preoperative diagnosis difficult. So, it should be considered as differential diagnosis in elderly patients presenting with acute surgical abdomen.

摘要

闭孔疝是指腹腔内容物通过闭孔管突出,是一种罕见的腹壁疝类型。患者就诊延迟与显著的发病率和死亡率相关。我们报告了一例罕见的闭孔疝病例,该病例导致一名65岁女性患者出现小肠梗阻。她出现了持续三天的腹部绞痛、恶心和呕吐。她被诊断为急性外科急腹症,并在埃塞俄比亚阿塞拉的阿尔西大学健康科学学院接受了手术治疗。术中发现为左侧闭孔疝,这是极为罕见的情况。尽管就诊延迟,但我们的患者术后恢复顺利。闭孔疝极为罕见,由于其体征和症状往往不具有特异性,给诊断带来了挑战,术前诊断困难。因此,对于出现急性外科急腹症的老年患者,应将其作为鉴别诊断之一。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e00e/7569351/d57b25c5f8d9/rjaa389f1.jpg

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