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27 August 2017
Adel Hamed Elbaih1, Eman Adel Elzeky1, Islam Elshaboury1, Mohamed Oraby2 1) Department of Emergency Medicine, Faculty of Medicine, Suez Canal University, Ismailia, Egypt. 2) Department of
10 May 2017
Naoual Benhmidou1, Fadoua Rais1, Fadila
10 May 2017
Khadija Bellahammou1, Asmaa Lakhdissi1,
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Khaled Moursy Salama1, Monira T.

LITTLE OLD LADY’S HERNIA SURGEONS CHALLENGE

Ankit Shukla1, Ramesh Bharti1, Amit Rattan1, Rajesh Chaudhary1, Usha Chaudhary2

1) Department of General Surgery, Dr Rajendra Prasad Government Medical College Kangra at Tanda, Himachal Pradesh India.

2) Department of Anaesthesia, Dr Rajendra Prasad Government Medical College Kangra at Tanda, Himachal Pradesh India.

Disclosure: The author has declared no conflicts of interest.

Received: 14.08.15 Accepted: 31.08.15

Citation: 10.5455/ijsm.20150820122221

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Abstract:

Obturator hernia also known as “little old lady’s hernia”, is an uncommon entity leading to bowel obstruction usually in thin built elderly females and is often associated with serious comorbid conditions due to advanced age. It is difficult to diagnose preoperatively however diagnosis can be confirmed by CT scan accurately if there is high index of suspicion. Delay in diagnosis and delay in institution of appropriate surgical treatment leads to high morbidity and mortality.

Keywords: Obturator hernia, small bowel obstruction, Howship Romberg sign


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