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Obturator hernia

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https://www.readbyqxmd.com/read/29607272/a-masquerading-and-unconventional-cause-of-dynamic-intestinal-obstruction-strangulated-obturator-hernia
#1
Aneesh Suresh, Sakthivel Chinnakkulam Kandhasamy, Ashok Kumar Sahoo, Anandhi Amaranathan, N R Vishnu Prasad
Obturator hernia is an extremely rare type of abdominal wall hernia occurring mostly in elderly, thin females. It is characterized by the herniation of intra-abdominal contents through the obturator foramen. Symptoms are often nonspecific, and the patient usually presents with an acute or subacute intestinal obstruction. A high index of suspicion is needed in such females presenting with abdominal distention and positive Howship-Romberg signs. Computed tomography of the abdomen and pelvis are often necessary to arrive at a diagnosis, and immediate surgical intervention is recommended...
January 29, 2018: Curēus
https://www.readbyqxmd.com/read/29540635/midline-extraperitoneal-approach-for-obturator-hernia-repair
#2
Yuji Otsuki, Hirofumi Konn, Keisa Takeda, Masahiko Koike
Obturator hernia (OH) is a rare condition that accounts for 0.073-1% of abdominal hernias and 0.48% of bowel obstructions. OH frequently occurs in elderly women, with an incidence that increases with age. The only treatment for OH is surgical intervention, and the approaches used vary greatly. Consequently, a well-defined consensus has not yet emerged. We assessed the efficiency and safety of the midline extraperitoneal approach for OH. Six patients with OH repaired using the midline extraperitoneal approach at KKR Sapporo Medical Center between April 2011 and January 2016 were included in the study...
March 14, 2018: Keio Journal of Medicine
https://www.readbyqxmd.com/read/29522816/therapeutic-strategy-for-incarcerated-obturator-hernia-using-preoperative-manual-reduction-and-laparoscopic-repair
#3
Hirofumi Kawanaka, Shoji Hiroshige, Nobuhide Kubo, Teijiro Hirashita, Takeshi Masuda, Yushi Kaisyakuji, Tadahiro Tajiri, Akinori Egashira, Toshifumi Matsumoto, Tokujiro Yano
BACKGROUND: Obturator hernia (OH) is a rare but serious disease associated with high morbidity and mortality because of patients' advanced age and comorbidities. This study evaluated the feasibility of a laparoscopic approach for OH. STUDY DESIGN: We retrospectively reviewed the records of 32 patients (median age: 84 years; 31 women) with OH treated between 2003 and 2016. RESULTS: Five patients with incidental OH underwent totally extraperitoneal (TEP) repair...
March 6, 2018: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/29392505/laparoscopic-repair-is-a-treatment-of-choice-for-selected-patients-with-incarcerated-obturator-hernia
#4
A Kohga, A Kawabe, T Okumura, K Yamashita, J Isogaki, K Suzuki
PURPOSE: The feasibility and potential advantages of laparoscopic diagnosis and repair of incarcerated obturator hernia (OH) is debated. The aim of this retrospective study was to compare short-term complications comparing laparoscopic to open repair of OH. METHODS: A total of 29 preoperatively diagnosed patients underwent surgery for a preoperatively diagnosed OH between January 2006 and July 2017. The patients were divided into a laparoscopic group (11 patients underwent laparoscopic repair; 8 without and 3 with intestinal resection) and an open group (18 patients who underwent open repair; 9 without and 9 with intestinal resection)...
February 1, 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/29316322/incarcerated-obturator-hernia-treated-using-a-hybrid-laparoscopic-and-anterior-preperitoneal-approach-a-case-report
#5
Yuta Yamazaki, Yasunori Otowa, Shunsuke Kusano, Koichi Nakajima, Shinsuke Satake, Yoshisada Yamasaki
Obturator hernia (OH) is a rare cause of bowel obstruction. Although several surgical approaches, including the laparoscopic approach, have been reported to date, a standard approach for treating OH has not been established. A 101-year-old woman who presented with constipation and vomiting was admitted to our hospital. CT revealed an incarcerated small bowel within the left obturator foramen, and a diagnosis of left-sided incarcerated OH with small bowel ileus was made. With the patient under general anesthesia, exploratory laparoscopy was performed; we identified an OH with an incarcerated small bowel, which was judged viable after hernia reduction...
January 8, 2018: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/29274599/bowel-obstruction-in-obturator-hernia-a-challenging-diagnosis
#6
L Conti, E Baldini, P Capelli, C Capelli
INTRODUCTION: The obturator hernia is a rare pelvic hernia that often comes in the shape of bowel obstruction caused by the presence of an intestinal segment, more often ileum, passing trough the obturator foramen of the pelvic wall (Fig. 1). This type of hernia accounts for 0.5-1.4% of all hernias. CASE PRESENTATION: We report the clinical case of a 84-year-old woman with no previous surgical interventions, who went to the emergency room complaining of vomit and nausea, bowels closed to gas and stool, which she had experienced for three previous days...
2018: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29241998/the-prevalence-and-morphology-of-the-corona-mortis-crown-of-death-a-meta-analysis-with-implications-in-abdominal-wall-and-pelvic-surgery
#7
Beatrice Sanna, Brandon Michael Henry, Jens Vikse, Bendik Skinningsrud, Jakub R Pękala, Jerzy A Walocha, Roberto Cirocchi, Krzysztof A Tomaszewski
PURPOSE: Corona mortis is a highly variable vascular connection between the obturator and external iliac or inferior epigastric arteries or veins located behind the superior pubic ramus in the retropubic space (space of Retzius). Due to the significant variation in this collateral circulation, detailed anatomical knowledge of the corona mortis is vital to enhance the prevention of possible iatrogenic errors in hernia repair and other pubic surgical procedures. The aim of our meta-analysis was to provide comprehensive data on the prevalence, anatomical characteristics, and ethnic variations of the corona mortis vessel...
February 2018: Injury
https://www.readbyqxmd.com/read/29148580/ultrasound-guided-reduction-of-an-incarcerated-obturator-hernia-in-an-elderly-patient
#8
Bente M de Kok, Julien B C M Puylaert, Frank M Zijta
Obturator hernia is a rare but clinically relevant cause of intestinal obstruction, usually found in elderly, thin, multiparous women. It is difficult to diagnose, leading to diagnostic delay with a high incidence of strangulation and a high mortality rate. Surgery is the only reported treatment. We report the case of an 86-year-old woman, in whom an early diagnosis of incarcerated obturator hernia was made with subsequent reduction by compression with an ultrasound transducer. When the risk of strangulation is presumed to be low, ultrasound-guided reduction of an obturator hernia is achievable and worth considering...
November 17, 2017: Journal of Clinical Ultrasound: JCU
https://www.readbyqxmd.com/read/29138668/-left-paraduodenal-hernia-a-rare-cause-of-bowel-obstruction
#9
Mohammed Alila, Abdelouahab Marouni, Imane Toughrai
We here report two cases of acute bowel obstruction. Emergency intervention showed left obstructive paraduodenal hernia causing volvulus with necrosis of the incarcerated intestinal loops in one patient who underwent one-time anastomosis resection and suffering but viable small bowel in the second patient treated by incarcerated intestinal loop reduction and obturation of the orifice of the hernial canal. We here highlight the diagnostic and therapeutic features of this rare condition.
2017: Pan African Medical Journal
https://www.readbyqxmd.com/read/29065783/efficacy-of-emergency-exploratory-laparotomy-in-incarcerated-obturator-hernia
#10
Tian-Chong Wu, Qiao Lu, Xiao-Hui Liang
BACKGROUND: Incarcerated obturator hernia (IOH) is a scarce type of acute surgical disease, but the mortality rate is the highest in abdominal hernias. The aim of this study was to evaluate the efficacy of emergency exploratory laparotomy (EEL) in treating incarcerated obturator hernia (IOH). METHODS: We conducted a retrospective study of 12 female patients with IOH underwent EEL between January 2014 and March 2016. The variables which included patient characteristics, findings of CT, operative time, postoperative complications, length of hospital stay, ICU admission rate, 30-day readmission rate and mortality were analyzed...
October 25, 2017: Acta Chirurgica Belgica
https://www.readbyqxmd.com/read/29037964/laparoscopic-treatment-for-stranguled-obturator-hernia-with-video
#11
J Cahais, R M Lupinacci, A Valverde
No abstract text is available yet for this article.
October 2017: Journal of Visceral Surgery
https://www.readbyqxmd.com/read/28959429/elective-laparoscopic-repair-after-reduction-might-be-useful-strategy-for-incarcerated-obturator-hernia-a-case-report
#12
Atsushi Kohga, Akihiro Kawabe, Yuchen Cao, Kiyoshige Yajima, Takuya Okumura, Kimihiro Yamashita, Jun Isogaki, Kenji Suzuki
Obturator hernia is a rare clinical condition that causes intestinal obstruction. Recent reports have suggested that laparoscopic repair may be useful for incarcerated obturator hernia in select patients. The patient was a 64-year-old female who presented to our emergency department with a chief complaint of abdominal pain. Computed tomography (CT) imaging revealed an incarcerated obturator hernia on her right side, without apparent findings of irreversible ischaemic change or perforation. She had a previous history of cardiovascular surgery and was taking an anticoagulant medication...
September 2017: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/28812139/groin-hernia-diagnostics-dynamic-inguinal-ultrasound-dius
#13
Henning Niebuhr, Anita König, Maciej Pawlak, Marco Sailer, Ferdinand Köckerling, Wolfgang Reinpold
PURPOSE: Although clinical examination is the gold standard for the diagnosis of groin hernia, imaging procedures can improve the detection of femoral hernias, incipient hernias, and less-common types of hernias (e.g., an obturator hernia). The aim of this study is to evaluate the sensitivity and specificity of dynamic inguinal ultrasound (DIUS). MATERIALS AND METHODS: Between July 2010 and June 2015, 4951 clinical and ultrasound examinations of the groin area were conducted at the Hanse-Hernienzentrum in Hamburg, Germany...
November 2017: Langenbeck's Archives of Surgery
https://www.readbyqxmd.com/read/28756376/obturator-hernia-a-rare-cause-of-bowel-obstruction
#14
Cã Tia Carreira Rito, Josà Travassos, Joana Patrà Cio, Ana Luisa Duarte
An obturator hernia is a rare condition and an unusual cause of intestinal obstruction. With a challenging diagnosis, it has one of the highest mortality rates of all abdominal wall hernias. The authors present a case of an elderly woman with bowel obstruction secondary to an incarcerated obturator hernia. An 80-year-old woman presented at the emergency room with complaints for the last 2 days of nausea, vomiting, constipation and lower right abdominal pain that radiated down to the right medial thigh. Abdominal tenderness to deep palpation of the right iliac fossa and mildly distention were noted...
July 28, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28686923/rare-case-of-incarcerated-obturator-hernia-case-report-and-review-of-literature
#15
N C Sá, V C M Silva, P R L Carreiro, A S Matos Filho, I A Lombardi
INTRODUCTION: Obturator hernia is a rare condition accounting for less than 1% of all intra abdominal hernias. Clinical diagnosis is considered a challenge for most surgeons. It usually appears as an intestinal obstruction. Confirmation of diagnosis is carried out by means of imaging or during surgery. CASE REPORT: An 85-year-old female patient, with symptoms of intestinal obstruction of 24h duration was admitted to the emergency room of Unimed Hospital - Belo Horizonte...
2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/28633126/emergency-incarcerated-obturator-hernia-repair-with-biologic-mesh-in-a-male-patient-after-ipsilateral-hip-disarticulation-a-case-report
#16
Rodolfo J Oviedo, Alexander H W Molinari
INTRODUCTION: An obturator hernia is an uncommon form of abdominal hernia that is difficult to diagnose due to its non-distinct presentation. This case investigates an emergency treatment of an obturator hernia presenting in a patient with an ipsilateral hip disarticulation in a 266-bed community hospital. PRESENTATION OF CASE: A 53-year old man with a history of a left hip disarticulation 3-weeks prior presented to the emergency department with fever, nausea, vomiting, and diarrhea for the past 5-days...
2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/28528186/the-pouch-of-the-douglas-s-pouch
#17
I Sall, E Diémé, M Diallo, E Bénadji, M Diouf, B Ndiaye, O Fall, A Sow, I C Diakhaté, M Ogougbémy
Hernia is described as the protrusion of an organ into the wall of its normal containing cavity. Internal hernia (IH) involves protrusion of viscera through: a peritoneal or mesentery defect, a normal or abnormal compartment of the peritoneal cavity. Hernias occurring in the pelvis cavity are usually classified according to the fascial margins breached and include sciatic, obturator and those through the rectouterin pouch: elytrocele and enterocele. Those hernias are defined by the protrusion of a viscus through the wall of the pelvis due to weakness of the pelvic fascia and/or muscles...
June 2017: Morphologie: Bulletin de L'Association des Anatomistes
https://www.readbyqxmd.com/read/28458870/subacute-bowel-obstruction-secondary-to-an-obturator-hernia-case-report-and-a-review-of-the-literature
#18
Eline A Caine, Thomas H Newman, Omar Marzouk, Kathryn Lynes, Mansoor Akhtar
Obturator hernias are rare and are often diagnosed late. This case report discusses an 82-year-old female who had symptoms of subacute bowel obstruction. Following a computed tomography abdomen pelvis, she underwent a laparotomy for an incarcerated right obturator hernia. The hernia was repaired using a single suture and she made a good recovery. A review of the literature around obturator hernias is discussed.
April 2017: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/28381270/a-rare-diaphragmatic-ureteral-herniation-case-report-endoscopic-and-open-reconstructive-management
#19
Frank C Lin, Jamie S Lin, Samuel Kim, Jonathan R Walker
BACKGROUND: Ureteral herniations are a rare occurrence, generally found incidentally on cross sectional imaging or during surgical intervention for unrelated processes. Several locations of ureteral herniations can occur including the inguinal, femoral, sciatic, obturator, and thoracic regions. While few reports of ureteral hernias are reported in the literature overall, the vast majority of those reported are inguinoscrotal herniations found during evaluation and treatment of inguinal hernias...
April 5, 2017: BMC Urology
https://www.readbyqxmd.com/read/28317613/retrospective-study-2009-2014-perineal-hernias-and-related-comorbidities-in-bitches
#20
REVIEW
Ayne Murata Hayashi, Sandra Aparecida Rosner, Thais Cristine Alves de Assumpção, Angelo João Stopiglia, Julia Maria Matera
Retrospective study based on data extracted from medical records of dogs diagnosed with perineal hernia between 2009 and 2014; medical records of bitches were selected for further analysis to determine the prevalence of perineal hernias in bitches and to investigate potential comorbidities. Perineal hernia was diagnosed in 182 dogs (174 males and 8 females; 96% and 4%, respectively). Surgical correction was performed in 6 bitches. Surgical procedures corresponded to internal obturator muscle transposition with or without polypropylene mesh reinforcement (n = 5) and semitendinosus muscle transposition flap (n = 1)...
December 2016: Topics in Companion Animal Medicine
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