Obturator Hernia Presenting as Hip Pain: A Case Report

We report an 86-year-old women with an obturator hernia presenting with recurrent right hip pain. Obturator hernia is a diagnostic challenge because the hernial mass is usually concealed beneath the pectineus. It should be suspected in emaciated, multiparous, elderly women presenting with unexplaine...

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Bibliographic Details
Published in:Journal of orthopaedic surgery (Hong Kong) 2012-12, Vol.20 (3), p.398-401
Main Authors: Chan, Ping Keung, Ng, Tze Pui, Lam, Ying Lee
Format: Article
Language:English
Subjects:
Abdomen
Aged, 80 and over
Arthralgia - etiology
Constipation
Female
Frail Elderly
Hernia, Obturator - complications
Hernia, Obturator - diagnosis
Hernia, Obturator - diagnostic imaging
Hernias
Hip Joint - diagnostic imaging
Humans
Imprisonment
Mortality
Pain
Patients
Tomography, X-Ray Computed
Women
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Description
Summary:We report an 86-year-old women with an obturator hernia presenting with recurrent right hip pain. Obturator hernia is a diagnostic challenge because the hernial mass is usually concealed beneath the pectineus. It should be suspected in emaciated, multiparous, elderly women presenting with unexplained pain in the groin, hip, thigh, or knee. High levels of clinical suspicion of the high-risk patients and recourse to investigation by computed tomography are important, as delay in diagnosis and treatment is associated with increased morbidity and mortality.
ISSN:1022-5536
2309-4990
DOI:10.1177/230949901202000329