A Rare Case of Bilateral Incarcerated Obturator Hernias and a Right-Side Femoral Hernia

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Author Info

Jinping Xu Ruth Wei Salieha Zaheer

Corresponding Author

Jinping Xu
Department of Family Medicine and Public Health Sciences, Wayne State University, Detroit, Michigan, USA

A B S T R A C T

Obturator hernias are rare but pose a diagnostic challenge with relatively high morbidity and mortality. Our patient is an elderly, thin female with an initial evaluation concerning for gastroenteritis, and further evaluation revealed bilateral incarcerated obturator hernias, which confirmed postoperatively as well as a right femoral hernia. An 83-year-old female presented to the outpatient office initially with one-day history of diarrhea and one-week history of episodic colicky abdominal pain. She returned 4 weeks later with diarrhea resolved but worsening abdominal pain and left inner thigh pain while ambulating, without changes in appetite or nausea and vomiting. Abdominal CT scan then revealed bilateral obturator hernias. Patient then presented to the emergency department (ED) due to worsening pain, and subsequently underwent hernia repair. Intraoperatively, it was revealed that the patient had bilateral incarcerated obturator hernias and a right femoral hernia. All three hernias were repaired, and patient was discharged two days later. Patient remained well postoperatively, and 15-month CT of abdomen showed no hernia recurrence.

Article Info

Article Type

Case Report

Publication history

Received: Mon 13, Jan 2020
Accepted: Sat 25, Jan 2020
Published: Sat 01, Feb 2020

Copyright

© 2023 Jinping Xu. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.JSCR.2020.01.03