OBSTRUCTED OBTURATOR HERNIA WITH LAPAROSCOPIC APPROACH REPAIR

Received 2020-10-06; Accepted 2021-06-25; Published 2021-10-08

Authors

  • Kah Seng Khoo Surgical Resident, Department of Surgery, Faculty of Medicine, University of Malaya, 50603 Kuala Lumpur, Malaysia.
  • Maizatul Aliaa Abdul Manan Surgical Resident, Department of Surgery, Faculty of Medicine, University of Malaya, 50603 Kuala Lumpur, Malaysia.
  • Wei Jin Wong General Surgeon, Department of Surgery, Faculty of Medicine, University of Malaya, 50603 Kuala Lumpur, Malaysia.

DOI:

https://doi.org/10.22452/jummec.vol25no1.7

Abstract

Obturator hernia is an uncommon intra-abdominal hernia with the incidence of 0.05-1.4% of all hernias. Diagnosis is often delayed as the clinical picture is usually non-specific and poses a diagnostic challenge to clinicians. This report describes a case of an 80-year-old woman, who presented to the Emergency Department with left lower quadrant abdominal pain that radiates to the left hip region for one day. Plain abdominal radiography showed dilated loops of small bowel in the pelvic region. Contrasted Enhanced Computed Tomography (CECT) of abdomen and pelvis demonstrated left obturator hernia with small bowel obstruction. Emergency laparoscopic obturator hernia repair was performed. Intraoperative findings confirmed a left incarcerated obturator hernia. The small bowel was reduced and viable. Subsequently, a primary closure of the hernia orifice was performed. This case report emphasizes the successful use of a laparoscopic approach in obstructed obturator hernia and its feasibility in an emergency setting.

Downloads

Download data is not yet available.

Downloads

Published

2022-01-20

Issue

Section

Research article