A rare cause of acute mechanical intestinal obstruction: a strangulated obturator hernia

Obturator hernia is a rarely-seen type of abdominopelvic hernia. It is generally seen in thinner, old, multipara patients. The most frequently seen clinical sign is intestinal obstruction associated with strangulation. Diagnosis is generally made during operation in patients brought into emergency room because of intestinal obstruction. Delay in diagnosis in older patients results in higher rates of morbidity and mortality. Herein, we present a 68-year-old multipara patient who consulted to the emergency service with clinical manifestations of intestinal obstruction, and who was operated with the preoperative diagnosis of “strangulated obturator hernia” established by means of computed-tomography.

Akut Mekanik Ýntestinal Obstrüksiyonun nadir bir nedeni: Strangüle Obturator Herni

Obturator herni abdominopelvik hernilerin nadir görülen bir tipidir. Genellikle yaþlý, zayýf ve multipar kadýnlarda görülür. En sýk görülen klinik bulgu strangülasyonla birlikte olan intestinal obstrüksiyondur. Taný genellikle intestinal obstrüksiyon nedeniyle acil operasyona alýnan hastalarda operasyon sýrasýnda konulur. Yaþlý hastalarda tanýda geç kalýnmasýndan dolayý yüksek mortalite ve morbiditeye sahiptir. Biz olgumuzda acil servise intestinal obstrüksiyon kliniði ile baþvuran, operasyon öncesinde çekilen bilgisayarlý tomografi ile "strangüle obturator herni" tanýsý konularak opere edilen 68 yaþýndaki multipar bayan hastayý sunuyoruz.