OBTURATOR HERNIA, Dr VO NGUYEN THANH NHAN, Dr NGUYEN TUAN, MEDIC MEDICAL CENTER, HCMC, VIETNAM

A 71 yo female patient from Tay ninh province, PARA =9007, 37kg in weight, suffered from an colicky abdominal pain for one month. Pain was getting worse and loss of bowel movement for 3 days. Ultrasound detected a dilatation from 3 to 4cm in diameter of small bowel and no air into the colon with a small amount of free fluid into her abdomen. CT disclosed a loop of small bowel which was between the right obturator and pectineus muscles and the small bowel obstruction.

 In second look, ultrasound showed a loop of small bowel behind the muscle in the section of the right  internal groin.

 Surgery proved a loop of small bowel which entered the right obturator foramen that caused the bowel obstruction. The patient had got well post-op for one month but died as a recurrent pain later.

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