Left Side Obturator Hernia With Multiple Ileal Diverticula : A Rare Case Report In A 72 Year Old Female

  • Pradeep Kumar Verma, Dr Associate professor
  • Anil Kumar Sharma, Dr Associate professor
  • Ashok Kumar Rajpura, Dr SR
  • Kamal Bansal, Dr Assistant professor
  • Sheetanshu Gupta, Dr Resident

Abstract

Obturator hernia is an extremely rare type of hernia that presents with signs and symptoms of intestinal obstruction. Its early diagnosis is difficult because the signs and symptoms are non-specific. A 72-year-old woman was admitted to our hospital in the emergency ward with complaints of intermittent abdominal colicky pain, abdominal distension, and bilious vomiting from last six days. The abdomen skiagram showed an obstructed loop of the bowel in the pelvis. After initial resuscitation, an exploration of the abdomen was planned. The patient also had multiple ileal diverticula in the terminal ileum. The only treatment for the obturator hernia is surgery.
 

References

1. Mantoo S, Mak K, Tan T. Obturator hernia: diagnosis and treatment in the modern era. Singap Med J 2009;50: 866–70.
2. Cuschieri A. Disorders of the abdominal wall, peritoneal cavity and retroperitoneum. In: Cuschieri A, Hanna G, eds., Essential Surgical Practice. London: CRC Press, 2015, 473–516.
3. Rogers FA. Strangulated obturator hernia. Surg 1960;48: 394–403.
4. Hernia AJ. In: Zinner MJ, Schwartz SI, Ellis H, editors. Maingot’s abdominal opera- tions. 10th ed. London, GB: Appleton & Lange; 1997. p. 540–1.
5. Shipkov CD, Uchikov AP, Grigoriadis E. The obturator obtu-rator hernia. Hernia: difficult to diagnose, easy to repair. Hernia 2004;8:155–7.
6. Park HC, Lee BH. The management of terminal ileum diverticulitis. (2009) The American surgeon. 75 (12): 1199-202. Pubmed
7. Transue DL, Hanna TN, Shekhani H, et al. Small bowel diverticulitis: an imaging review of an uncommon entity. Emerg Radiol 2017;24:195–205.doi:10.1007/s10140-016-1448-4pmid:http://www.ncbi.nlm.nih.gov/pubmed/27815648PubMedGoogle Scholar
8. Prakash C, Clouse RE. Acute ileal diverticulitis. Am J Gastroenterol 1998;93:452–4.doi:10.1111/j.1572-0241.1998.00452.xpmid:http://www.ncbi.nlm.nih.gov/pubmed/9517656PubMedGoogle Scholar
9. Shapiro K, Patel S, Choy C, Chaudry G, Khalil S, Ferzli G. Totally extraperitoneal re-pair of obturator hernia. Surgical Endoscopy 2004;18:954–6.
10. Kulkarni SR, Punamiya AR, Naniwadekar RG, et al. Obturator hernia: a diagnostic challenge. Int J Surg Case Rep 2013;4:606–8.
Published
2023-12-31
How to Cite
VERMA, Pradeep Kumar et al. Left Side Obturator Hernia With Multiple Ileal Diverticula : A Rare Case Report In A 72 Year Old Female. J Soc Surg Nep, [S.l.], v. 26, n. 2, p. 84-86, dec. 2023. ISSN 2392-4772. Available at: <https://jssn.org.np/index.php?journal=jssn&page=article&op=view&path%5B%5D=https%3A%2F%2Fdoi.org%2F10.3126%2Fjssn.v26i2.63631>. Date accessed: 14 june 2024.