Recurrent obturator hernia as a cause of nonspecific abdominal pain: A case report

Research output: Contribution to journalArticle

Abstract

Many patients visit the emergency department (ED) with abdominal pain. Sometimes, physicians are faced with diagnostic challenges, particularly for older patients. We recently had an elderly female patient who visited the ED several times with non-specific abdominal pain caused by an unusual hernia. One year before, an 81-year-old female visited our ED complaining of abdominal pain radiating to the right inguinal/femoral area. An incarcerated obturator hernia was found on an abdomino-pelvic computed tomography (CT) scan, and she underwent a laparoscopic hernioplasty. However, 1 year later, she revisited complaining of abdominal pain similar to the previous episode. Eventually, the diagnosis of recurrent obturator hernia was made, and a second operation was performed. An obturator hernia may be the cause of non-specific abdominal pain and small bowel obstruction in elderly emaciated females. Recognising the clinical signs and characteristics of this disease is necessary for a prompt diagnosis and treatment.

Original languageEnglish
Pages (from-to)210-213
Number of pages4
JournalHong Kong Journal of Emergency Medicine
Volume19
Issue number3
Publication statusPublished - 2012 May 1

Fingerprint

Obturator Hernia
Abdominal Pain
Hospital Emergency Service
Groin
Herniorrhaphy
Hernia
Thigh
Tomography
Physicians

Keywords

  • Acute abdomen
  • Intestinal obstruction
  • X-ray computed tomography

ASJC Scopus subject areas

  • Emergency Medicine

Cite this

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abstract = "Many patients visit the emergency department (ED) with abdominal pain. Sometimes, physicians are faced with diagnostic challenges, particularly for older patients. We recently had an elderly female patient who visited the ED several times with non-specific abdominal pain caused by an unusual hernia. One year before, an 81-year-old female visited our ED complaining of abdominal pain radiating to the right inguinal/femoral area. An incarcerated obturator hernia was found on an abdomino-pelvic computed tomography (CT) scan, and she underwent a laparoscopic hernioplasty. However, 1 year later, she revisited complaining of abdominal pain similar to the previous episode. Eventually, the diagnosis of recurrent obturator hernia was made, and a second operation was performed. An obturator hernia may be the cause of non-specific abdominal pain and small bowel obstruction in elderly emaciated females. Recognising the clinical signs and characteristics of this disease is necessary for a prompt diagnosis and treatment.",
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AU - Lee, Sung Woo

AU - Choi, Sung Hyuk

AU - Hong, Y. S.

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