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The Korean Journal of Medicine 2008;75(3): 762-766.
증례 : 폐쇄공 탈장에 의한 소장 폐쇄 1예
임동혁.김훈일.유정화.최준혁.신혜영.김민정.조영규, Hoon Il Kim, Jeong Hwa Yu, Joon Hyuk Choi, Hye Young Shin, Min Jeong Kim, Young Kyu Cho
A case of small bowel obstruction due to an obturator hernia
ong Hyuk Lim, Hoon Il Kim, Jeong Hwa Yu, Joon Hyuk Choi, Hye Young Shin, Min Jeong Kim, Young Kyu Cho
ABSTRACT
An obturator hernia is a rare type of hernia that is difficult to detect early because of its non-specific symptoms. A delayed diagnosis can lead to mortality. A very thin 79-year-old women visited hospital complaining of pain in the thigh and pelvis. She was discharged because the symptoms improved. One day later, she was readmitted with abdominal pain, nausea, and vomiting. The abdominal plain X-ray showed evidence of small bowel obstruction. She was managed conservatively due to her poor general condition, but the symptoms did not resolve. Three days later after admission, the hernia was diagnosed on abdominal computed tomography (CT) and she underwent immediate surgery. We report the symptoms and early diagnosis methods for obturator hernias with a brief review of the literature. (Korean J Med 75:S762-S766, 2008)
Keywords: Obturator hernia; Small bowel obstruction
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