Department of General Surgery and Digestive Diseases, Nepal Mediciti Hospital, Bhaisepati, Lalitpur, Nepal.
JNMA J Nepal Med Assoc. 2022 Aug 1;60(252):735-738. doi: 10.31729/jnma.7499.
Encountering an obturator hernia itself is a rare entity for practicing surgeons globally. Synonymously known as the "old lady's hernia" is usually seen in fragile geriatric multiparous female patients. We share our experience of this rare entity where the patient presented with features of small bowel obstruction. Her diagnosis was delayed in the previously attended other centre as the possibility of an obturator hernia was overlooked. A timely clinical examination of the patient complemented by a computed tomography scan of the abdomen and pelvis helped us to obtain a diagnosis and proceed with immediate surgery. Intraoperatively the rarity was present bilaterally although the obstruction was on one side only. Prompt diagnosis and treatment benefits patients in this potentially lethal condition.
case report; computed tomography; obturator hernia; X-ray.
对于全球的外科医生来说，遇到闭孔疝本身就是一种罕见的情况。这种疝通常被称为“老太太疝”，多见于脆弱的老年多产妇。我们分享了一个罕见病例，该患者表现出小肠梗阻的特征。在之前就诊的另一家医院，由于忽视了闭孔疝的可能性，导致其诊断被延误。及时的临床检查，结合腹部和骨盆的计算机断层扫描，帮助我们做出了诊断，并立即进行了手术。术中发现双侧均存在这种罕见情况，尽管只有一侧发生了梗阻。及时诊断和治疗可以使患者受益，避免这种潜在致命情况的发生。
病例报告；计算机断层扫描；闭孔疝；X 射线
