A Case of Intestinal Obstruction Secondary to a Strangulated Obturator Hernia in an Elderly Woman

Takahiro UMEMOTO, Ryuichi SEKINE, Hiroki MIZUKAMI, Mitsuo SAITO, Gaku KIGAWA, Hiroshi NEMOTO, Kenji HIBI
2012 The Showa University Journal of Medical Sciences  
In this report, we present a case of intestinal obstruction secondary to a strangulated obturator hernia in an elderly woman. An 88-year-old woman was admitted to our hospital because she had been experiencing abdominal pain and vomiting for 24 h. Her abdomen was distended, and bowel sounds indicating obstruction were heard on auscultation. Diffuse abdominal tenderness was present, but no palpable masses were apparent. The diagnosis of an obturator hernia was confirmed preoperatively by
more » ... tomography. During the emergency laparotomy, the incarcerated intestine was reduced and removed. The obturator foramen was repaired using a simple suture. The patient recovered completely and was discharged seven days after the surgical procedure because no postoperative complications occurred. An early diagnosis and prompt surgical treatment are important to reduce the morbidity and mortality associated with an obturator hernia. Introduction An obturator hernia OH is a rare condition that is dif cult to diagnose. Although only 0.073% of all hernias are of this type, the mortality rate of patients with this condition can be as high as 70% 1-4 . Most cases of intestinal obstruction in emaciated elderly women occur because of OH. In OH, the hernial sac passes through the obturator foramen, following the path of the obturator nerves and muscles. Case Report An 88-year-old woman was referred to our emergency department because she had been experiencing abdominal pain and vomiting for two days. The colicky pain was worsening and was accompanied by nausea and vomiting for 24 h, which were associated with diffuse abdominal pain. She had no relevant medical history. The patient was considered petite because her weight and height were 38 kg and 145 cm, respectively. Examination of
doi:10.15369/sujms.24.247 fatcat:eq2i5iekvbatjk5sv4xu4d56w4