Obstructed obturator hernia containing Meckel’s diverticulum: a case report

Authors

  • Sharad Jain Department of General Surgery, R.N.T. Medical College, Udaipur, Rajasthan, India
  • Motilal Maida Department of General Surgery, R.N.T. Medical College, Udaipur, Rajasthan, India
  • Sagar Manohar Patil Department of General Surgery, R.N.T. Medical College, Udaipur, Rajasthan, India

DOI:

https://doi.org/10.18203/2349-2902.isj20185496

Keywords:

Hernia, Meckel’s diverticulum, Obstructed, Obturator

Abstract

An obturator hernia is a rare type of hernia and unusual cause of acute intestinal obstruction. The combination of diagnostic difficulty and high mortality rates make obturator hernia a serious diagnosis that can be potentially overlooked. We present a case of an elderly multiparous woman presented at the emergency room with complaints of abdominal distension, pain, vomiting and constipation for the last 4 days. On examination abdominal tenderness with distension was noted. Hernial orifices were normal. A CT and MRI reports were suggestive of right obstructed obturator hernia. Patient underwent emergency exploratory laparotomy. The hernial sac contained a narrow neck Meckel's diverticulum with perforation of proximal ileum. Resection of perforated segment along with Meckel's diverticulum was done and end to end ileo-ileal anastomosis was performed. Obturator foramen was closed with simple polypropylene sutures. CT/MRI scan is of immense help in preoperative diagnosis. Once the diagnosis is suspected or confirmed, patient should be taken for surgery as early as possible.

References

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Published

2018-12-27

Issue

Section

Case Reports