Strangulated obturator hernia - an unusual presentation of intestinal obstruction.
AffiliationDepartment of Surgery, Midland Regional Hospital, Tullamore, Ireland., firstname.lastname@example.org
MeSHAged, 80 and over
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CitationJ Coll Physicians Surg Pak. 2009 Sep;19(9):582-3.
JournalJournal of the College of Physicians and Surgeons--Pakistan : JCPSP
AbstractAn 81-year-old Caucasian emaciated female presented with 3 days history of colicky abdominal pain nausea, projectile vomiting and abdominal distension. A pre-operative diagnosis of mechanical bowel obstruction was made. The absence of characteristic clinical signs in this thin elderly woman with a small bowel obstruction failed to provide a pre-operative diagnosis. She underwent a midline laparotomy and resection and anastomosis of small bowel and repair of the strangulated right obturator hernia. The high mortality rate associated with this type of abdominal hernias requires a high index of suspicion to facilitate rapid diagnosis and prompt surgical intervention if the survival rate is to be improved.
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