PDF(Pubmed)
Abstract：
UNASSIGNED: The presentation of a strangulated obturator hernia is rare, with it accounting for less than 0.04% of all hernias. Delay in presentation and diagnosis results in complications like bowel ischemia, necrosis, perforation, and peritonitis, thereby increasing morbidity and mortality.
UNASSIGNED: The authors report the case of an 85-year-old multiparous woman who presented with a 3-day history of abdominal pain and vomiting. Upon examination, she exhibited hypotension, altered sensorium, and a distended abdomen with visible peristalsis. An abdominal pelvic computed tomography scan confirmed the diagnosis of \'intestinal obstruction secondary to an incarcerated obturator hernia\'. Subsequently, a lower midline laparotomy was performed, successfully reducing the bowel and repairing the hernial orifice. The patient was discharged on the fourth postoperative day, and there has been no hernia recurrence as of her 3-month follow-up.
UNASSIGNED: The presentation of a strangulated obturator hernia can be elusive. During clinical examination, both the Howship-Romberg sign and the Hannington-Kiffs sign tests may be negative. Laparoscopic obturator hernia repair has been shown to reduce hospital stay and morbidity. A midline laparotomy has the advantage of easy manual reduction, minimizing bowel trauma, accurately accessing the bowel, and facilitating bowel resection.
UNASSIGNED: Obturator hernias constitute rare subtypes of abdominal hernias. They typically occur in older women, and patients often present with poor functional status and multiple comorbidities. The clinical diagnostic tests are uncertain, even in patients with a high index of suspicion. Timely diagnosis and appropriate surgical management are crucial for a favorable outcome.
UNASSIGNED: The authors report the case of an 85-year-old multiparous woman who presented with a 3-day history of abdominal pain and vomiting. Upon examination, she exhibited hypotension, altered sensorium, and a distended abdomen with visible peristalsis. An abdominal pelvic computed tomography scan confirmed the diagnosis of \'intestinal obstruction secondary to an incarcerated obturator hernia\'. Subsequently, a lower midline laparotomy was performed, successfully reducing the bowel and repairing the hernial orifice. The patient was discharged on the fourth postoperative day, and there has been no hernia recurrence as of her 3-month follow-up.
UNASSIGNED: The presentation of a strangulated obturator hernia can be elusive. During clinical examination, both the Howship-Romberg sign and the Hannington-Kiffs sign tests may be negative. Laparoscopic obturator hernia repair has been shown to reduce hospital stay and morbidity. A midline laparotomy has the advantage of easy manual reduction, minimizing bowel trauma, accurately accessing the bowel, and facilitating bowel resection.
UNASSIGNED: Obturator hernias constitute rare subtypes of abdominal hernias. They typically occur in older women, and patients often present with poor functional status and multiple comorbidities. The clinical diagnostic tests are uncertain, even in patients with a high index of suspicion. Timely diagnosis and appropriate surgical management are crucial for a favorable outcome.
摘要：
■绞窄闭孔疝的表现很少见，它占所有疝气的不到0.04%。延迟出现和诊断会导致肠缺血等并发症，坏死,穿孔,和腹膜炎,从而增加发病率和死亡率。
作者报告了一例85岁的多胎妇女，有3天的腹痛和呕吐病史。经检查,她表现出低血压,改变的感官，腹部扩张，蠕动可见。腹部盆腔CT扫描证实诊断为“继发于嵌顿闭孔疝的肠梗阻”。随后，进行了下中线剖腹手术，成功减少肠道和修复疝口。病人在术后第四天出院,在她3个月的随访中，没有疝气复发。
■绞窄性闭孔疝的表现可能难以捉摸。在临床检查中,Howship-Romberg标志和Hannington-Kiffs标志测试都可能是阴性。腹腔镜闭孔疝修补术已被证明可以减少住院时间和发病率。中线剖腹手术的优点是易于手动复位，减少肠道创伤,准确进入肠道，并促进肠切除。
■闭孔疝构成腹部疝的罕见亚型。它们通常发生在老年妇女身上，患者通常表现为功能状态差和多种合并症。临床诊断测试不确定，即使是怀疑指数高的患者。及时的诊断和适当的手术管理对于获得良好的结果至关重要。
作者报告了一例85岁的多胎妇女，有3天的腹痛和呕吐病史。经检查,她表现出低血压,改变的感官，腹部扩张，蠕动可见。腹部盆腔CT扫描证实诊断为“继发于嵌顿闭孔疝的肠梗阻”。随后，进行了下中线剖腹手术，成功减少肠道和修复疝口。病人在术后第四天出院,在她3个月的随访中，没有疝气复发。
■绞窄性闭孔疝的表现可能难以捉摸。在临床检查中,Howship-Romberg标志和Hannington-Kiffs标志测试都可能是阴性。腹腔镜闭孔疝修补术已被证明可以减少住院时间和发病率。中线剖腹手术的优点是易于手动复位，减少肠道创伤,准确进入肠道，并促进肠切除。
■闭孔疝构成腹部疝的罕见亚型。它们通常发生在老年妇女身上，患者通常表现为功能状态差和多种合并症。临床诊断测试不确定，即使是怀疑指数高的患者。及时的诊断和适当的手术管理对于获得良好的结果至关重要。
