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Ultrasound‐guided reduction of an incarcerated obturator hernia in an elderly patient

Ultrasound‐guided reduction of an incarcerated obturator hernia in an elderly patient Obturator hernia is a rare but clinically relevant cause of intestinal obstruction, usually found in elderly, thin, multiparous women. It is difficult to diagnose, leading to diagnostic delay with a high incidence of strangulation and a high mortality rate. Surgery is the only reported treatment. We report the case of an 86‐year‐old woman, in whom an early diagnosis of incarcerated obturator hernia was made with subsequent reduction by compression with an ultrasound transducer. When the risk of strangulation is presumed to be low, ultrasound‐guided reduction of an obturator hernia is achievable and worth considering. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Clinical Ultrasound Wiley

Ultrasound‐guided reduction of an incarcerated obturator hernia in an elderly patient

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Publisher
Wiley
Copyright
© 2018 Wiley Periodicals, Inc.
ISSN
0091-2751
eISSN
1097-0096
DOI
10.1002/jcu.22562
pmid
29148580
Publisher site
See Article on Publisher Site

Abstract

Obturator hernia is a rare but clinically relevant cause of intestinal obstruction, usually found in elderly, thin, multiparous women. It is difficult to diagnose, leading to diagnostic delay with a high incidence of strangulation and a high mortality rate. Surgery is the only reported treatment. We report the case of an 86‐year‐old woman, in whom an early diagnosis of incarcerated obturator hernia was made with subsequent reduction by compression with an ultrasound transducer. When the risk of strangulation is presumed to be low, ultrasound‐guided reduction of an obturator hernia is achievable and worth considering.

Journal

Journal of Clinical Ultrasound – Wiley

Published: Jan 1, 2018

Keywords: ; ; ; ;

References

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    Petrie, A; Tubbs, RS; Matusz, P
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    Rodríguez‐Hermosa, JI; Codina‐Cazador, A; Maroto‐Genover, A
  • Forty‐three cases of obturator hernia
    Kammori, M; Mafune, K; Hirashima, T
  • Bilateral obturator hernia with intestinal obstruction: repair with a cigar roll technique
    Tchanque, CN; Virmani, S; Teklehaimanot, N
  • Preoperative diagnosis of strangulated obturator hernia using ultrasonography
    Yokoyama, T; Munakata, Y; Ogiwara, M
  • Obturator hernia: diagnosis and treatment in the modern era
    Mantoo, SK; Mak, K; Tan, TJ.
  • Ultrasound may decrease the emergency surgery rate of incarcerated inguinal hernia
    Chen, SC; Lee, CC; Liu, YP
  • Partial preoperative reduction of inguinal hernia through compression with an ultrasound transducer
    Koseoglu, K; Ozsunar, Y; Taskin, F
  • Diagnosis and reduction of a hernia by bedside ultrasound: a case report
    Siadecki, SD; Frasure, SE; Saul, T
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    Torzilli, G; Del Fabbro, D; Felisi, R
  • Ultrasound‐guided reduction of a Spigelian hernia in a difficult case: an unusual use of bedside emergency ultrasonography
    Blaivas, M.

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