Preoperative diagnosis of obturator hernia by computed tomography

Semin Ultrasound CT MR. 2002 Apr;23(2):193-6. doi: 10.1016/s0887-2171(02)90005-3.

Abstract

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.

MeSH terms

  • 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