Presentation
Abdominal pain and vomiting.
Patient Data
Age: 80 years
Gender: Female
From the case:
Obturator hernia causing small bowel obstruction
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Small bowel obstruction characterized by dilated loops and multiple air-fluid levels. Gastric distension also noted. There is a right obturator hernia containing a small loop of small bowel, which is the transition point.
Case Discussion
The patient proceeded to laparotomy by which time the hernia had spontaneously reduced. A small jejunal tear was repaired as was a 1 cm defect in right obturator foramen.
Co-contributor: Dr Emma Downie, The Royal Melbourne Hospital.