LITTLE OLD LADY’S HERNIA SURGEONS CHALLENGE
- Written by Super User
- Published in General Surgery
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.
The obturator hernia: Difficult diagnosis - easy repair
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
References:
1. Ziegler DW, Rhoads JE Jr. An obturator hernia needs a laparotomy, not a diagnosis. Am J Surg. 1995; 170: 67-68.
2. Hsu CH, Wang CC,Jeng LB, Chen MF. An obturator hernia. SurgGynec & Obst 1988;167;(3):217-222.
3. Lo CY, Lorentz TG, Lau PW. Obturator hernia presenting as small bowel obstruction. Am J Surg. 1994; 167: 396-398.
4. Lin HH, Juan CW, Chew BT, Chao JH. Obturator hernia. Int J of Gerontology 2010;4;(2): 104-106.
5. Skandalakis LJ, Androulakis J, Colborn GL, Skandalakis JE. Obturator hernia. Embryology, anatomy and surgical applications. SurgClin North Am 2000;80:71-84.
6. Chang SS, Shan YS, Lin YJ, Tai YS, Lin PW. A review of obturator hernia and a proposed algorithm for its diagnosis and treatment. World J Surg 2005; 29: 450-454.
7. Bjork KJ, Mucha P Jr, Cahill DR: Obturatorhernia. SurgGynecolObstet 1988; 167: 217-222.
8. Mantoo SK, Mak K, Tan TJ.Obturator hernia: diagnosis and treatment in the modern era. Singapore Medical Journal. 2009;50(9):866-870.
9. Nasir BS, Zendejas B, AliS M, Groenewald CB, Heller SF, Farley DR. Obturator hernia: the Mayo Clinic experience. Hernia 2012;16:315–319.
10. Hannington-Kiff JG. Absent thigh adductor reflex inobturator hernia. Lancet 1980;1:180.
11. De Clerq L,Coenegrachts K,Feryn T, Van CA,Vandevoorde P,Verstraete K. An elderly woman with obstructed obturator hernia: a less common variety of external abdominal hernia. Journal Belge de Radiologie – Belgisch Tijdschrift voor Radiologi. 2010;93:302–304.
12. Kammori M, Mafune K, Hirashima T, Kawahara M, Hashimoto M, Ogawa T. Forty-three cases of obturator hernia. Am J Surg. 2004; 187: 549-552.
How to cite this article
Shukla A, Bharti R, Rattan A, Chaudhary R, Chaudhary U. LITTLE OLD LADY’S HERNIA SURGEONS CHALLENGE. Int J Surg Med. 2017; 3(3): 197-199. doi:10.5455/ijsm.20150820122221
Cited by:
1. Raj, A. A., & Rajendra, B. (2016). Little Old Lady’s Hernia- Report of a rare case. Manipal Journal of Nursing and Health Sciences, 2(2), 69-71.
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