Preoperative diagnosis of obturator hernia by computed tomography

A retrospective study of 6 patients with obturator hernia diagnosed before surgery by X-ray and computed tomography (CT) was conducted between 1993 and 2000. The initial CT of the abdomen including the pelvic area revealed incarcerated bowel in the obturator foramen of all 6 patients. All patients u...

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Published inSeminars in ultrasound, CT, and MRI Vol. 23; no. 2; pp. 193 - 196
Main Authors Nishina, Masayoshi, Fujii, Chiiho, Ogino, Ryukoh, Kobayashi, Ryozoh, Kumada, Keisuke, Yamane, Kunikazu, Kohama, Akitsugu
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.04.2002
Subjects
Aged
Aged, 80 and over
Female
Hernia, Obturator - diagnosis
Hernia, Obturator - surgery
Humans
Japan
Laparotomy
Preoperative Care
Retrospective Studies
Tomography, X-Ray Computed
Treatment Outcome
Women's Health
Japan
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Summary:A retrospective study of 6 patients with obturator hernia diagnosed before surgery by X-ray and computed tomography (CT) was conducted between 1993 and 2000. The initial CT of the abdomen including the pelvic area revealed incarcerated bowel in the obturator foramen of all 6 patients. All patients underwent laparotomy as soon as possible after CT scans were obtained. Resection of the small bowel was performed in 3 patients, and release of the small bowel was performed in the remaining 3 patients. There were no perioperative deaths. In elderly women who show evidence of small bowel obstruction by abdominal plain x-ray studies, we recommend performing CT scans of the abdomen including the pelvic area for detection of obturator hernia.
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content type line 23
ISSN:0887-2171
1558-5034
DOI:10.1016/S0887-2171(02)90005-3