Publication: Early CT Ameliorates the Diagnostic Dilemma of “Little Old Lady’s Hernia”: A Case Report
Date
2022
Journal Title
Journal ISSN
Volume Title
Publisher
Nepal Medical Association
Abstract
Abstract
Encountering an obturator hernia itself is a rare entity for practicing surgeons globally. Synonymously known as the “old lady’s hernia” is usually seen in fragile geriatric multiparous female patients. We share our experience of this rare entity where the patient presented with features of small bowel obstruction. Her diagnosis was delayed in the previously attended other centre as the possibility of an obturator hernia was overlooked. A timely clinical examination of the patient complemented by a computed tomography scan of the abdomen and pelvis helped us to obtain a diagnosis and proceed with immediate surgery. Intraoperatively the rarity was present bilaterally although the obstruction was on one side only. Prompt diagnosis and treatment benefits patients in this potentially lethal condition.
Description
Subodh Ghimire
Department of General Surgery and Digestive Diseases, Nepal Mediciti Hospital, Bhaisepati, Lalitpur, Nepal
Sunil Kumar Sharma Dhakal
Department of General Surgery and Digestive Diseases, Nepal Mediciti Hospital, Bhaisepati, Lalitpur, Nepal
Pranil Rai
Department of General Surgery and Digestive Diseases, Nepal Mediciti Hospital, Bhaisepati, Lalitpur, Nepal
Nirvan Rai
Department of General Surgery and Digestive Diseases, Nepal Mediciti Hospital, Bhaisepati, Lalitpur, Nepal
Keywords
Case report, Computed tomography, Obturator hernia, X-ray