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
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| Online Access: | https://ir.uitm.edu.my/id/eprint/44355/1/44355.pdf https://ir.uitm.edu.my/id/eprint/44355/ https://jchs-medicine.uitm.edu.my/index.php |
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| _version_ | 1833067521523056640 |
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| author | Ramli Hamid, Marlina Tanty Mohd Khalid, Mohd Shukry Rahmat, Kartini |
| author_facet | Ramli Hamid, Marlina Tanty Mohd Khalid, Mohd Shukry Rahmat, Kartini |
| author_sort | Ramli Hamid, Marlina Tanty |
| building | Tun Abdul Razak Library |
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| content_provider | Universiti Teknologi Mara |
| content_source | UiTM Institutional Repository |
| continent | Asia |
| country | Malaysia |
| description | 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. |
| format | Article |
| id | my.uitm.ir-44355 |
| institution | Universiti Teknologi Mara |
| language | en |
| publishDate | 2021 |
| publisher | Universiti Teknologi MARA Cawangan Selangor |
| record_format | eprints |
| spelling | my.uitm.ir-443552021-03-29T09:32:03Z https://ir.uitm.edu.my/id/eprint/44355/ Small Bowel Obstruction Secondary to Obturator Hernia: A Pre-Operative Diagnosis at Computed Tomography / Marlina Tanty Ramli Hamid ...[et al.] jchs Ramli Hamid, Marlina Tanty Mohd Khalid, Mohd Shukry Rahmat, Kartini R Medicine (General) Surgery by region, system, or organ Examination. Diagnosis 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. Universiti Teknologi MARA Cawangan Selangor 2021-03-01 Article PeerReviewed text en https://ir.uitm.edu.my/id/eprint/44355/1/44355.pdf Small Bowel Obstruction Secondary to Obturator Hernia: A Pre-Operative Diagnosis at Computed Tomography / Marlina Tanty Ramli Hamid ...[et al.]. (2021) Journal of Clinical and Health Sciences <https://ir.uitm.edu.my/view/publication/Journal_of_Clinical_and_Health_Sciences/>, 6 (1). pp. 46-49. ISSN 0127-984X https://jchs-medicine.uitm.edu.my/index.php |
| spellingShingle | R Medicine (General) Surgery by region, system, or organ Examination. Diagnosis Ramli Hamid, Marlina Tanty Mohd Khalid, Mohd Shukry Rahmat, Kartini Small Bowel Obstruction Secondary to Obturator Hernia: A Pre-Operative Diagnosis at Computed Tomography / Marlina Tanty Ramli Hamid ...[et al.] |
| title | Small Bowel Obstruction Secondary to Obturator Hernia: A Pre-Operative Diagnosis at Computed Tomography / Marlina Tanty Ramli Hamid ...[et al.] |
| title_full | Small Bowel Obstruction Secondary to Obturator Hernia: A Pre-Operative Diagnosis at Computed Tomography / Marlina Tanty Ramli Hamid ...[et al.] |
| title_fullStr | Small Bowel Obstruction Secondary to Obturator Hernia: A Pre-Operative Diagnosis at Computed Tomography / Marlina Tanty Ramli Hamid ...[et al.] |
| title_full_unstemmed | Small Bowel Obstruction Secondary to Obturator Hernia: A Pre-Operative Diagnosis at Computed Tomography / Marlina Tanty Ramli Hamid ...[et al.] |
| title_short | Small Bowel Obstruction Secondary to Obturator Hernia: A Pre-Operative Diagnosis at Computed Tomography / Marlina Tanty Ramli Hamid ...[et al.] |
| title_sort | small bowel obstruction secondary to obturator hernia: a pre-operative diagnosis at computed tomography / marlina tanty ramli hamid ...[et al.] |
| topic | R Medicine (General) Surgery by region, system, or organ Examination. Diagnosis |
| url | https://ir.uitm.edu.my/id/eprint/44355/1/44355.pdf https://ir.uitm.edu.my/id/eprint/44355/ https://jchs-medicine.uitm.edu.my/index.php |
| url_provider | http://ir.uitm.edu.my/ |