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Case Studies | Surgery | India | Volume 12 Issue 10, October 2023 | Rating: 4.6 / 10
A Case Report on Obturator Hernia
Dr. Kshitija Kamble [4] | Dr. Jignesh P. Dave [10]
Abstract: Herniation of abdominal contents most often small bowel through obturator canal is known as obturator hernia. The obturator hernia is a rare pelvic hernia that often presents with symptoms of bowel obstruction. Obturator hernia corresponds to 0.5 - 1.4% of all abdominal hernias. But late presentation and delayed diagnosis is associated with significant mortality and morbidity. Entrapment of an intestinal segment within the obturator orifice, most often the ileum, less frequently Meckel's diverticulum or omentum, can cause intestinal obstruction. Females are 6 - 9 times more likely than men to be subject to the pathology, mostly occurring in a multiparous, emaciated, elderly woman so it is also called "the little old lady's hernia". Risk factors such as chronic constipation, chronic obstructive pulmonary disease, ascites, kyphoscoliosis, and multiparty, can predispose patients to herniation. Surgery is the only treatment. Prognosis depends mostly on early diagnosis and presentation. Here we are presenting a case of 80 years old female who presented to us with complaints of abdominal pain and vomiting associated with constipation since 3 days.
Keywords: obturator hernia, little old lady?s hernia, small bowel obstruction, Howship rhomberg sign, obstructed hernia
Edition: Volume 12 Issue 10, October 2023,
Pages: 2040 - 2042