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JNMA J Nepal Med Assoc · Aug 2022
Case ReportsEarly CT Ameliorates the Diagnostic Dilemma of "Little Old Lady's Hernia": A Case Report.
- Subodh Ghimire, Sunil Kumar Sharma Dhakal, Pranil Rai, and Nirvan Rai.
- Department of General Surgery and Digestive Diseases, Nepal Mediciti Hospital, Bhaisepati, Lalitpur, Nepal.
- JNMA J Nepal Med Assoc. 2022 Aug 1; 60 (252): 735738735-738.
UnlabelledEncountering an obturator hernia itself is a rare entity for practicing surgeons globally. Synonymously known as the "old lady's hernia" is usually seen in fragile geriatric multiparous female patients. We share our experience of this rare entity where the patient presented with features of small bowel obstruction. Her diagnosis was delayed in the previously attended other centre as the possibility of an obturator hernia was overlooked. A timely clinical examination of the patient complemented by a computed tomography scan of the abdomen and pelvis helped us to obtain a diagnosis and proceed with immediate surgery. Intraoperatively the rarity was present bilaterally although the obstruction was on one side only. Prompt diagnosis and treatment benefits patients in this potentially lethal condition.Keywordscase report; computed tomography; obturator hernia; X-ray.
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