Its early diagnosis is challenging since the signs and symptoms are non specific. Obturator hernia is an extremely rare type of hernia with relatively high mortality and morbidity. Kulkarni, Sanjeev R Punamiya, Aditya R Naniwadekar, Ramchandra G Janugade, Hemant B Chotai, Tejas D Vimal Singh, T Natchair, Arafath Obturator hernia: A diagnostic challenge. The most common symptom is strangulation combined with mechanical intestinal obstruction. Because it is difficult to diagnose before surgery, the morbidity and mortality rates for obturator hernia are high. Obturator hernia is a rare type of pelvic hernia which generally occurs in elderly patients with accompanying diseases. Yucel, Ahmet Fikret Pergel, Ahmet Sahin, Dursun Ali Obturator Hernia: A Rare Case of Acute Mechanical Intestinal Obstruction Obturator hernia: a rare case of acute mechanical intestinal obstruction.Īydin, Ibrahim Yucel, Ahmet Fikret Pergel, Ahmet Sahin, Dursun Ali
As it was mentioned above, in doubtful cases to clarify the diagnosis should be applied other methods of examination of patients, including computed tomography. Only in one case, despite the prevailing clinical picture of acute intestinal obstruction in the light of anamnesis and the accompanying neurological symptoms before the operation could be suspected strangulated obturator hernia, which was confirmed during surgery. In all cases the indication of surgery was clinical picture of a growing intestinal obstruction or acute abdomen. The article analyzes two clinical cases of strangulated obturator hernia and one traumatic eventration and strangulation of small intestine in the obturator ring ruined by trauma. The strangulation of obturator hernia is accompanied by rapidly developing symptoms of intestinal obstruction, which is usually an indication for emergency surgery. Hernial protrusion is not often observed. To diagnose obturator hernia is very complicated. Only about 600 cases are described in the world medical literature. Obturator hernias are extremely rare in surgical practice. Ĭhakhvadze, B Nakashidze, D Kashibadze, K Beridze, A