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Case Report
 
Small bowel obstruction due to recurrent obturator hernia: A case report
Yasser Arafat1, Marianna Zukiwskyj2
1MBBS, Principle House Officer, General Surgery, Bundaberg Hospital, Bundaberg, Queensland, Australia.
2MBBS, Registrar, General Surgery, Rockhampton Hospital, Rockhampton, Queensland, Australia.

Article ID: 100016Z12YA2016
doi:10.5348/Z12-2016-16-CR-8

Address correspondence to:
Marianna Zukiwskyj
Rabaul Street Moorooka Queensland
Australia, 4015

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How to cite this article:
Arafat Y, Zukiwskyj M. Small bowel obstruction due to recurrent obturator hernia: A case report. J Case Rep Images Surg 2016;2:27–30.


Abstract
Introduction: A diagnostic challenge, the obturator hernia is an uncommon cause for small bowel obstruction. It is classically described in thin elderly women. Delay to diagnosis may result in strangulation and gangrenous bowel at subsequent laparotomy. The classically described signs, whilst useful when present, are absent in greater than 50% of cases, and preoperative diagnosis is made on radiological imaging.
Case Report: We report a case of small bowel obstruction secondary to a strangulated obturator hernia in an elderly female. Laparotomy, bowel resection and suture hernia repair was undertaken. A subsequent presentation of small bowel obstruction was due to recurrence of the obturator hernia. However, resolved without operative management.
Conclusion: A high index of suspicion is required to diagnose an obturator hernia clinically. Failure to do so results in greater mortality and morbidity. Early cross sectional imaging can make the diagnosis and lead to earlier surgical repair. A diagnostic challenge, an obturator hernia is a rare cause of small bowel obstruction. Delay in diagnosis is associated with adverse outcome. Computed tomography scan has proved invaluable to early detection and repair.

Keywords: Harnia, Obturator hernia, Small bowel obstruction


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Author Contributions
Yasser Arafat – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Marianna Zukiwskyj – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2016 Yasser Arafat et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.