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首页> 外文期刊>International journal of colorectal disease. >Obturator hernia-a condition seldom thought of and hence seldom sought
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Obturator hernia-a condition seldom thought of and hence seldom sought

机译：闭塞者疝气 - 一个条件很少想到，因此很少寻求

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Purpose: Obturator hernia is an extremely rare type of hernia with an incidence of less than 1% of all abdominal wall hernias occurring predominantly in elderly females characterized by protrusion of the intra-abdominal viscera into the obturator foramen. It presents with pain along the medial aspect of the thigh referred to the knee due to compressed obturator nerve and sometimes as an uncommon cause of intestinal obstruction. It remains a clinical diagnostic dilemma and often perplexing the decision for surgery. This explanatory review emphasizes and illuminates its various facets under the rationale of its diagnosis and management to familiarize surgeons with the condition. Methods: The data for the present review was obtained by searching in PubMed and other databases using key terms "obturator hernia", "abdominal hernia", "intestinal obstruction", and "Howship-Romberg sign". Many original articles, reviews, and case reports were selected. Results: Since it is very rare that a mass can be found on inspection of the medial aspect of the thigh and the clinical signs are not always present, hence obturator hernia is a condition which leads to both difficult and delayed clinical diagnosis and consequently having a significant morbidity and mortality rates, especially in the elderly. Conclusion: Obturator hernia should always be in the differential diagnosis in septuagenarian to nonagenarian patients with nonspecific signs and symptoms of intestinal obstruction. Computed tomography of abdomen and pelvis has been found to be the gold standard for preoperative diagnosis and this condition necessitates immediate surgical reduction and repair of the defect either by open or laparoscopic approach.
机译：目的：闭孔疝是一种极稀有的疝气，发病率占所有腹壁疝的发病率，主要在老年女性中发生，其特征在于腹部内脏突出到闭塞器​​孔中。由于压缩的闭合剂神经，沿着大腿内侧的疼痛呈疼痛呈疼痛，有时是肠梗阻的罕见原因。它仍然是临床诊断困境，并且通常令手术决定。这种解释性评论强调并在其诊断和管理的理由下强调并照亮了各个方面，以熟悉条件的外科医生。方法：使用关键术语“闭合剂疝气”，“腹部疝气”，“肠梗阻”和“春尔贝格迹象”在PubMed和其他数据库中搜索本综述的数据。选择了许多原始文章，评论和案例报告。结果：由于非常罕见的是，可以在大腿内侧观察和临床符号的检查中找到质量，因此闭孔疝是一种导致困难和延迟的临床诊断的病症，因此具有显着的发病率和死亡率，特别是在老年人。结论：闭孔疝应始终处于Septuagenarian的差异诊断，非特异性症状和肠梗阻的症状。已经发现腹部和骨盆的计算机断层扫描是术前诊断的金标准，并且这种情况需要通过开放或腹腔镜方法立即进行外科手术和修复缺陷。

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