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International Journal of Advances In Case Reports

Volume 11, Issue 1, 2024
Mcmed International
International Journal of Advances In Case Reports
Issn
XXX-XXXX (Print), 2349 - 8005 (Online)
Frequency
bi-annual
Email
editorijacr@mcmed.us
Journal Home page
http://mcmed.us/about/ijacr
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Abstract
Title
OBTURATOR HERNIA OF THE RICHTER TYPE: A RACE AGAINST TIME
Author
Muhammad Asad Parvaiz*, Chandni Deb, David Rosewarne, Tapan Sircar
Email
asad.parvaiz@nhs.net
keyword
Obturator hernia, Richter’s hernia, Small bowel, Laparotomy.
Abstract
Obturator hernia is a rare type of hernia accounting for less than 1% of all intra-abdominal hernias and 0.2–1.6% of mechanical small bowel obstructions. The diagnosis is often delayed due to non-specific presenting symptoms. It is usually diagnosed on an exploratory laparotomy for small bowel obstruction. We present a case of obturator hernia of Richter’s variety in which the diagnosis was promptly made by computed tomography and emergent treatment was carried out by laparotomy and reduction of viable small bowel. The diagnosis of obturator hernia should be strongly suspected in a thin, elderly woman with small bowel obstruction and no previous abdominal surgery.
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