[Unusual case of intestinal obstruction at the ileal level:

Ann Ital Chir · Jul 2002

Case Reports

[Unusual case of intestinal obstruction at the ileal level: strangulated obturator hernia. A case report].

The authors report their experience about treatment of a rare case of intestinal (ileal) obstruction by strangulated obturator hernia. ⋯ Obturator hernia is a rare pathology, with difficult and delayed diagnosis: all these character make dangerous this hernia, with a risk of high morbidity and mortality (delayed diagnosis and treatment). The only useful treatment is surgery, especially in front of intestinal obstruction, with a wide median laparotomy.

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- C Sciumè, G Geraci, F Pisello, F Li Volsi, M Cajozzo, R Vaglica, and G Modica.
- Unità Operativa di Chirurgia Generale ad Indirizzo Toracico, Dipartimento di Chirurgia Generale, d'Urgenza c Trapianti d'Organo, Università degli Studi di Palermo. girgera@tin.it
- Ann Ital Chir. 2002 Jul 1; 73 (4): 451-5; discussion 456.
ObjectiveThe authors report their experience about treatment of a rare case of intestinal (ileal) obstruction by strangulated obturator hernia.DesignReport of 1 case; evaluation of effectiveness of surgical treatment, 2-years follow-up and revision of literature about its clinical presentation and treatment.SettingOperative Unit of General and Thoracic Surgery, Department of Surgical, Anatomical and Oncological Disciplines. Policlinico, University of Palermo.InterventionsThe patient was submitted to curative and radical surgery.ResultsResolution of the pathology. Follow up (2 years) negative.ConclusionsObturator hernia is a rare pathology, with difficult and delayed diagnosis: all these character make dangerous this hernia, with a risk of high morbidity and mortality (delayed diagnosis and treatment). The only useful treatment is surgery, especially in front of intestinal obstruction, with a wide median laparotomy.

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[Unusual case of intestinal obstruction at the ileal level: strangulated obturator hernia. A case report].

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