Richter Type of Incarcerated Obturator Hernia; Misery Still Continues

• Authors: Kumar Jayant , Rajendra Agarwal , Swati Agarwal
• Languages of publication: EN

Abstracts

EN

Obturator hernia is a rare type of hernia which accounts for only 0.07-1.4% of all intra-abdominal hernias and 0.2-5.8% of small-intestinal obstructions. It develops predominantly in elderly underweight women. It has nonspecific early symptoms, so these hernias are usually discovered only after they have become incarcerated. Incarcerated obturator hernias are usually discovered on abdominal computed tomography scan or emergency surgery due to bowel obstruction.Here we present a case of a 65-year-old female who presented with intermittent abdominal pain, distension and nausea for last 3 days. She was a known case of hypothyroidism, taking Levothyroxine in inadequate dose. Her intial abdominal Xray was showing few air-fluid level with air present in rectum. She was initially managed conservatively but later developed features of peritonitis for which she was operated. In laparotomy, Richter type of right-sided incarcerated obturator hernia was discovered with a small necrotic area and perforation of small bowel. Bowel resection was performed and obturator hernia was closed with interrupted sutures. The patient recovered without complications. Obturator hernia, due to its rarity and nonspecific early symptoms, can still be misleading even to the most experienced clinicians. Delay in diagnosis of obturator hernia can lead to bowel necrosis and perforation with significant postoperative morbidity and mortality.

Keywords

EN

Richter obturator hernia; strangulation

• Publisher: De Gruyter Open
• Journal: Polish Journal of Surgery
• Year: 2015
• Volume: 86
• Issue: 10
• Pages: 490-492

Dates

received

2 - 12 - 2013

online

3 - 2 - 2015

Contributors

author

Kumar Jayant

• Department of Surgery, Sudha Hospital and Medical Research Centre, Rajasthan, India Kierownik: dr

author

Rajendra Agarwal

• Department of Surgery, Sudha Hospital and Medical Research Centre, Rajasthan, India Kierownik: dr

author

Swati Agarwal

• Department of Surgery, Sudha Hospital and Medical Research Centre, Rajasthan, India Kierownik: dr

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Identifiers

DOI

10.2478/pjs-2014-0087