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左侧绞窄性闭孔疝:一例罕见病例报告及文献综述

Left-Sided Strangulated Obturator Hernia: A Rare Case Report and Literature Review.

作者信息

Meena Satya Prakash, Vency Althea Cardoz, Badkur Mayank, Lodha Mahendra

机构信息

Department of General Surgery, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.

出版信息

Int J Appl Basic Med Res. 2021 Jul-Sep;11(3):198-200. doi: 10.4103/ijabmr.IJABMR_429_20. Epub 2021 Jul 19.

Abstract

Obturator hernia is a rare type of pelvic hernia and considers more common in female patients. The obturator canal is a narrow space, leading to high chances of bowel strangulation. It is rarely diagnoses, especially on the left side. The mortality rate of obturator hernia is high due to delayed diagnosis. We are presenting a case of a 70-year-old woman, admitted with the clinical features of acute intestinal obstruction. On clinical examination, she had a nontender, distended abdomen, and all hernial orifices were normal. Per rectal and vaginal examination was also normal. She diagnosed a left-sided obturator hernia with the help of a computed tomography scan abdomen. We should consider a differential diagnosis of obturator hernia, especially in old, thin-built female patients with recurrent episodes of obstructive features. Early diagnosis and timely operative intervention may reduce the chances of complications and mortality.

摘要

闭孔疝是一种罕见的盆腔疝,在女性患者中更为常见。闭孔管是一个狭窄的空间,导致肠绞窄的几率很高。它很少被诊断出来,尤其是在左侧。由于诊断延迟,闭孔疝的死亡率很高。我们现报告一例70岁女性患者,因急性肠梗阻的临床特征入院。临床检查时,她腹部无压痛、膨隆,所有疝孔均正常。直肠和阴道检查也正常。通过腹部计算机断层扫描,她被诊断为左侧闭孔疝。我们应该考虑闭孔疝的鉴别诊断,尤其是在年老、体型消瘦且有反复发作梗阻特征的女性患者中。早期诊断和及时的手术干预可能会降低并发症和死亡率的几率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb43/8360215/30acae8c1768/IJABMR-11-198-g001.jpg

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