Elective laparoscopic repair after reduction might be useful strategy for incarcerated obturator hernia: a case report

Abstract Obturator hernia is a rare clinical condition that causes intestinal obstruction. Recent reports have suggested that laparoscopic repair may be useful for incarcerated obturator hernia in select patients. The patient was a 64-year-old female who presented to our emergency department with a...

Full description

Saved in:
Bibliographic Details
Published in:Journal of surgical case reports 2017-09, Vol.2017 (9), p.rjx180
Main Authors: Kohga, Atsushi, Kawabe, Akihiro, Cao, Yuchen, Yajima, Kiyoshige, Okumura, Takuya, Yamashita, Kimihiro, Isogaki, Jun, Suzuki, Kenji
Format: Article
Language:English
Subjects:
Case Report
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Abstract Obturator hernia is a rare clinical condition that causes intestinal obstruction. Recent reports have suggested that laparoscopic repair may be useful for incarcerated obturator hernia in select patients. The patient was a 64-year-old female who presented to our emergency department with a chief complaint of abdominal pain. Computed tomography (CT) imaging revealed an incarcerated obturator hernia on her right side, without apparent findings of irreversible ischaemic change or perforation. She had a previous history of cardiovascular surgery and was taking an anticoagulant medication. We performed a reduction of the incarcerated intestine. After heparin displacement, laparoscopic repair was electively performed. During laparoscopy, an occult obturator hernia was found on the left side. We repaired the bilateral obturator hernia using a mesh prosthesis. Elective laparoscopic repair after reduction might be a useful procedure for incarcerated obturator hernias in those patients without findings of irreversible ischaemic change or perforation.
ISSN:2042-8812
2042-8812
DOI:10.1093/jscr/rjx180