Small Bowel Obstruction Secondary to Obturator Hernia: A Pre-Operative Diagnosis at Computed Tomography / Marlina Tanty Ramli Hamid ...[et al.]
Obturator hernia is rare, but it must be considered in elderly patients who present with small bowel obstruction. The diagnosis is challenging unless there is a high index of suspicion as the presenting symptoms and signs are usually non-specific. Presence of positive Howship- Romberg sign is consid...
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Universiti Teknologi MARA Cawangan Selangor,
2021-03-01.
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LEADER | 00000 am a22000003u 4500 | ||
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001 | repouitm_44355 | ||
042 | |a dc | ||
100 | 1 | 0 | |a Ramli Hamid, Marlina Tanty |e author |
700 | 1 | 0 | |a Mohd Khalid, Mohd Shukry |e author |
700 | 1 | 0 | |a Rahmat, Kartini |e author |
245 | 0 | 0 | |a Small Bowel Obstruction Secondary to Obturator Hernia: A Pre-Operative Diagnosis at Computed Tomography / Marlina Tanty Ramli Hamid ...[et al.] |
260 | |b Universiti Teknologi MARA Cawangan Selangor, |c 2021-03-01. | ||
500 | |a https://ir.uitm.edu.my/id/eprint/44355/1/44355.pdf | ||
520 | |a Obturator hernia is rare, but it must be considered in elderly patients who present with small bowel obstruction. The diagnosis is challenging unless there is a high index of suspicion as the presenting symptoms and signs are usually non-specific. Presence of positive Howship- Romberg sign is considered pathognomonic. Early diagnosis and rapid surgical intervention will reduce the high morbidity and mortality associated with undiagnosed obturator hernia. We report a case of a 93-year-old female patient who was admitted to our surgical department with symptoms of intestinal obstruction of 3-days duration. Howship-Romberg sign was negative. Computed tomography (CT) demonstrated the presence of left obturator hernia with proximal small bowel obstruction and no sign of strangulation. The patient had emergency laparotomy post-CT where the incarcerated bowel loop was released and the obstructed bowel was decompressed without any complication. The hernial defect was close with a mesh and the patient had an uneventful recovery post-surgery. In this case, we highlight that diagnosis of obturator hernia must always be considered in elderly patients who present with intestinal obstruction. Urgent CT could establish a rapid pre-operative diagnosis and aids in appropriate surgical intervention planning which is crucial in optimising the outcome. | ||
546 | |a en | ||
690 | |a R Medicine (General) | ||
690 | |a Surgery by region, system, or organ | ||
690 | |a Examination. Diagnosis | ||
655 | 7 | |a Article |2 local | |
655 | 7 | |a PeerReviewed |2 local | |
787 | 0 | |n https://ir.uitm.edu.my/id/eprint/44355/ | |
787 | 0 | |n https://jchs-medicine.uitm.edu.my/index.php | |
856 | 4 | 1 | |u https://ir.uitm.edu.my/id/eprint/44355/ |z Link Metadata |