ISSN 1308-8734 | E-ISSN 1308-8742
Case Report
Obturator Hernia, a Rare Cause of Small Bowel Obstruction: Case Report
1 Department of General Surgery, Ataturk University Faculty of Medicine, Erzurum, Turkey  
2 Department of Radiology, Erzurum Regional Training and Research Hospital, Erzurum, Turkey  
3 Department of Emergency Medicine, Ataturk University Faculty of Medicine, Erzurum, Turkey  
Eurasian J Med 2014; 46: 224-226
DOI: 10.5152/eajm.2014.56
Key Words: Computerized tomography, Howship-Romberg sign, obturator hernia, small bowel obstruction
Abstract

Obturator hernia is a rare hernia in the world, diagnosed late since it has no specific symptoms and findings and generally occur in thin and old women with comorbidity.For this reason obturator hernia has high morbidity and mortality rates. In this study, we present an obturator hernia case that Howship-Romberg sign is positive and has typical appearance in computerized tomography. Laparotomy was performed on 89 years old female patient with body mass index 18.08 kg/m2 by low middle line incision. Following the segmentectomy to the strangulated small bowel loop, obturator canal is repaired by retroperitoneal application. No complication occurred in the postoperative period. Obturator hernia should be taken into consideration in old and thin female patients with intestinal obstruction. Computerized tomography should be performed for early diagnosis of the obturator hernia.

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