Small Bowel Obstruction Secondary to Obturator Hernia: A Pre-Operative Diagnosis at Computed Tomography / Marlina Tanty Ramli Hamid ...[et al.]

Ramli Hamid, Marlina Tanty and Mohd Khalid, Mohd Shukry and Rahmat, Kartini (2021) Small Bowel Obstruction Secondary to Obturator Hernia: A Pre-Operative Diagnosis at Computed Tomography / Marlina Tanty Ramli Hamid ...[et al.]. Journal of Clinical and Health Sciences, 6 (1). pp. 46-49. ISSN 0127 – 984X

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Abstract

Obturator hernia is rare, but it must be considered in elderly patients who present with small bowel obstruction. The diagnosis is challenging unless there is a high index of suspicion as the presenting symptoms and signs are usually non-specific. Presence of positive Howship- Romberg sign is considered pathognomonic. Early diagnosis and rapid surgical intervention will reduce the high morbidity and mortality associated with undiagnosed obturator hernia. We report a case of a 93-year-old female patient who was admitted to our surgical department with symptoms of intestinal obstruction of 3-days duration. Howship-Romberg sign was negative. Computed tomography (CT) demonstrated the presence of left obturator hernia with proximal small bowel obstruction and no sign of strangulation. The patient had emergency laparotomy post-CT where the incarcerated bowel loop was released and the obstructed bowel was decompressed without any complication. The hernial defect was close with a mesh and the patient had an uneventful recovery post-surgery. In this case, we highlight that diagnosis of obturator hernia must always be considered in elderly patients who present with intestinal obstruction. Urgent CT could establish a rapid pre-operative diagnosis and aids in appropriate surgical intervention planning which is crucial in optimising the outcome.

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Item Type: Article
Creators:
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Ramli Hamid, Marlina Tanty
UNSPECIFIED
Mohd Khalid, Mohd Shukry
UNSPECIFIED
Rahmat, Kartini
UNSPECIFIED
Subjects: R Medicine > R Medicine (General)
R Medicine > RD Surgery > Surgery by region, system, or organ
R Medicine > RG Gynecology and obstetrics > Examination. Diagnosis
Divisions: Universiti Teknologi MARA, Selangor > Puncak Alam Campus > Faculty of Medicine
Journal or Publication Title: Journal of Clinical and Health Sciences
UiTM Journal Collections: UiTM Journal > Journal of Clinical and Health Sciences (JCHS)
ISSN: 0127 – 984X
Volume: 6
Number: 1
Page Range: pp. 46-49
Official URL: https://jchs-medicine.uitm.edu.my/index.php
Item ID: 44355
Uncontrolled Keywords: Obturator hernia, Small bowel obstruction, Computed tomography (CT), Howship-Romberg sign, Emergency laparotomy
URI: https://ir.uitm.edu.my/id/eprint/44355

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44355

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