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Revista Española de Enfermedades Digestivas
versión impresa ISSN 1130-0108
Rev. esp. enferm. dig. vol.103 no.10 Madrid oct. 2011
https://dx.doi.org/10.4321/S1130-01082011001000007
PICTURES IN DIGESTIVE PATHOLOGY
Obturator hernia responsible for intestinal obstruction
Hernia obturatriz de oclusión intestinal
José María Daroca-José
Department of General Surgery and Digestive Diseases. Hospital General de Castellón. Castellón de la Plana, Spain
Case report
A women of 87 years was moved to the surgery service because of abdominal pain and distention of 24 hours of evolution accompanied by vomiting without emission of gases or stool.
No relevant medical history.
Examination revealed a distended, soft and palpable, tympanic abdomen, with no peritonitis and no appreciable hernia defects.
Laboratory tests showed leukocytosis with neutrophilia and plain abdominal radiography showed dilated bowel loops.
Given the suspicion of an obstruction of the small intestine, it was performed an abdominal and pelvic CT scan urgently, which disclosed an image of left obturator hernia as a cause of occlusion, presence of dilated small bowel loops and free fluid. (Fig. 1)
The patient was operated urgently carrying out a herniaplasty without bowel resection. After surgery the patient did well.
Recommended References
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