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Advancements in Case Studies

“Little Old Ladies Hernia”: A Case Report and Review of Literature

  • Open or Close Sonali Sethi1*, SatyajitGodhi2, Pankaj Kumar1 and Amit Javed3

    1Department of Radiodiagnosis, Fortis Hospital, India

    2Department of gastrointestinal surgery, Apollo hospitals, India

    3Department of Surgical Gastroenterology, Fortis Hospital, India

    *Corresponding author: Sonali Sethi, Consultant Radiologist, Department of Radiodiagnosis, Melody 1002, H M Tambourine Apartments JP Nagar 6th phase, Kanakpura Road, Bangalore, Karnataka. -560078, India

Submission: September 19, 2017; Published: December 20, 2017

DOI: 10.31031/AICS.2017.01.000504

ISSN 2639-0531
Volume1 Issue1


Obturator hernia is a very rare variety of pelvic hernia accounting for approximately 0.05-0.4% of all abdominal hernias[1].It is referred to as the “little old ladies hernia” owing to its prevalence in old frail ladies. The symptoms are non-specific and the diagnosis is often delayed. We recently managed an 83 year old lady who presented with intestinal obstruction due to an incarcerated left obturator hernia. She was diagnosed preoperatively with a contrast enhanced computed tomography (CECT) abdomen and operated successfully by laparoscopic surgery. The radiologist and clinician should be aware of this clinical entity as it most often presents very late (as in our case) and early diagnosis is imperative for successful management and better prognosis.

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