Obturator hernia causing small bowel obstruction

Case contributed by Dr Henry Knipe

Presentation

Abdominal pain and vomiting.

Patient Data

Age: 80 years
Gender: Female

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 sponataneously 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. 

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Case information

rID: 65522
Published: 12th Jan 2019
Last edited: 31st Mar 2019
Inclusion in quiz mode: Included

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