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KMID : 0371320010610020216
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Journal of the Korean Surgical Society
2001 Volume.61 No. 2 p.216 ~ p.219
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Preoperative Diagnosis of Strangulated Obturator Hernia Using CT
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Jang Seh-Jin
Lee Chul-Hee
Choi Seung-Hye
Yun Ji-Young
An Chang-Hyeok
Kim Nam-Il
Lee Seong
Yoo Seung-Jin
Lim Keun-Woo
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Abstract
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Obturator hernia is a rare pelvic hernia, occuring most frequently in elderly, debilitated women. Because of nonspecific symptoms, the diagnosis of obturator hernia is often delayed until laparotomy for bowel obstruction. This leads to high bowel
resection and mortality rates, which represents a diagnostic and therapeutic challenge for surgeons today.
We experienced an unusual case of right obturator hernia with strangulation in an 81-year-old female patient who presented with intermittent generalized, particularly right lower quadrant, abdominal pain and distension. The hernia was diagnosed
by
computed tomography (CT) scan and repaired using the lower midline transperitoneal approach. CT scan in the evaluation of patients with nonspecific intermittent gastrointestinal symptoms leads to a diagnosis of occult hernia. We report these
findings
with a brief review of the literature focusing on finding indicators leading to early diagnosis and treatment.
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KEYWORD
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