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Document Details :
Title: Een tengere oude vrouw met darmobstructie
Author(s): BOURGEOIS P, VANDEVELDE D, VAN ROOY F, D’HEYGERE F
Journal: Tijdschrift voor Geneeskunde
Volume: 67 Issue: 16 Date: 2011
Obturator hernia, an unusual cause of obstruction.
Obturator hernia accounts for 0,073-1,0% of all intestinal hernias. They frequently present difficulties in diagnosis, as the symptoms are nonspecific and because of the deep position of the sack. Emaciated women between 70 and 90 years are most frequently affected, hence its nickname “little old lady’s hernia”. An early diagnosis is possible with CT of the abdomen and pelvis. Nevertheless, mortality is high because of late diagnosis. Treatment is surgically.
We report a case of this rare hernia in a 84-year-old woman. She presented with fecaloid vomiting and absence of stools. CT revealed small bowel dilation without a clear cause. Laparoscopy was carried out and an obturator hernia discovered.