Obturator hernia: a difficult diagnosis.

Abstract:

:We have presented the case of an elderly woman with severe kyphoscoliosis, osteoarthritis and left knee effusion who had symptoms and signs of intermittent intestinal obstruction. Operation showed a left-sided obturator hernia. In any elderly, debilitated, chronically ill woman, symptoms and signs of recurrent small-bowel obstruction (without a history of abdominal surgery or external hernias) and pain along the ipsilateral thigh and knee (Howship-Romberg sign) should raise suspicion for an obturator hernia. If the hernia is not palpable by physical examination, a CT scan of the pelvis and upper aspect of the thigh would confirm the diagnosis before operation and allow prompt treatment and better chance of patient survival.

journal_name

South Med J

journal_title

Southern medical journal

authors

Rizk TA,Deshmukh N

doi

10.1097/00007611-199006000-00031

subject

Has Abstract

pub_date

1990-06-01 00:00:00

pages

709-12

issue

6

eissn

0038-4348

issn

1541-8243

journal_volume

83

pub_type

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