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KMID : 0371320090770030211
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Journal of the Korean Surgical Society
2009 Volume.77 No. 3 p.211 ~ p.215
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Successfully Treated Obturator Hernia in Spite of Delayed Operation
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Hwang Ki-Tae
Chung Jung-Kee
Jung In-Mok
Heo Seung-Chul
Ahn Young-Joon
Chang Mee-Soo
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Abstract
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Obturator hernia is a rare type of pelvic hernia and occurs most commonly in elderly and debilitated women. It is still a challenge for surgeons to diagnose precisely in early stages because of its nonspecific symptoms and consequently delayed diagnosis could lead to high morbidity and mortality. We experienced a 92-year old patient who was diagnosed as obturator hernia which was confirmed by computed tomography scan of the abdomen and pelvis. The operation was delayed due to the refusal of family members but eventually done after 12 days from initial diagnosis. After manual reduction of small bowel impacted into right obturator foramen, segmental resection of impacted small bowel and anastomosis was done. The hernial defect was closed by primary closure with Dexon suture material. After the operation, the patient was discharged without significant complications. We report here successful results of delayed operation for obturator hernia. (J Korean Surg Soc 2009;77:211-215)
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KEYWORD
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Obturator hernia, Obturator foramen
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