| 篇名 |
Obturator Hernia after Traumatic Pelvic Fracture:Report of a Case |
| 作者 |
Kuan-Chun Hsueh, Shung-Sheng Tsou, Chia-Herng Yue, Ji-Kuen Yu, Tzu-Ming Chang, Jai-Nien Tung |
| 卷期/出版年月 |
42卷3期 (2009/6) |
| 頁次 |
176-180 |
| 摘要 |
Obturator hernia is a rare kind of hernia associated with multiple predisposing
factors, such as emaciation, aging females and increased intra-abdominal pressure.
The high mortality rate has been reported to be due to diagnostic delay and
underlying medical illness. Emergent abdominal computed tomography for
suspected cases can raise the preoperative diagnostic accuracy. Surgical intervention
as early as possible is necessary to reduce the morbidity and mortality. Here we
report a 68-year-old female with symptoms of intestinal obstruction for 2 days, who
visited our emergency department. Past history revealed that she had a pelvic
fracture 5 years before. Abdominal computed tomography suggested right obturator
hernia with bowel incarceration, and showed a deformed pelvis and right hip joint.
During exploration, resection of the gangrenous bowel segment and anastomosis
with primary anastomosis were performed. The defect was directly repaired by
approximation of the adjacent peritoneum. The history of pelvic fracture might also
be recognized as a risk factor. |
| 關鍵詞 |
obturator hernia, computed tomography, pelvic fracture |
| 分類 |
Case Report |
