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| Strangulated Obturator Hernia: Case Report
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Ismail Labbi,, Mohamed oussama bahri ,, abdeslam bouassria, Hicham El Bouhaddouti,, Ouadii Mouaqit,, El Bachir Benjelloun,, Abdelmalek Ousadden,, and Khalid Ait Taleb,.
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Abstract:
Introduction: Obturator hernia (HO) is a rarely diagnosed subgroup of hernias and occurs preferentially in elderly and emaciated women. These can be difficult to accurately identify in the initial stages of the patient's clinical course. It is the cause of 0.2 to 1.6% of mechanical small bowel obstructions with a mortality and morbidity rate after surgery of 35 and 18% respectively. Treatment is required of these hernias due to the likelihood of there being strangulation of the hernia. Also, these hernias often require treatment as an emergency procedure, as it is unlikely that the obturator hernia is likely to be reducible. Observation: We report the case of an 80 year old women in whom the diagnosis of strangulated HO is established in the context of the assessment of an occlusion. Conclusion: Preoperative diagnosis of obturator hernia remains difficult, due to the low specificity of the clinical examination. The CT scan can help in the etiological diagnosis. Any delay in treatment increases mortality, and emergency surgery will allow to specify the etiology and to ensure the treatment adapted to this type of pathology.
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