Case report: Strangulated obturator hernia with sepsis

Abstract

             The aim of this article is to report an old woman patient refered from a community hospital with prolonged right lower quadrant pain for 10 days and inflammation and subcutaneous emphysema from the right lower quadrant of the abdominal wall to the anterior part of the upper thigh, with signs of shock. A provisional diagnosis of ruptured obturator hernia was suspected and plain abdomen films showed free air in the abdominal cavity and soft tissue. Fluid resuscitation with intravenous antibiotics was done before emergency laparotomy. A strangulated obturator hernia was found and partial small bowel resection with drain was performed successfully. A review of emergency strategic care for suspected cases of obturator hernia for practitioners who practice in emergency rooms is provided here, so that rapid evaluation and   effective interventions can be performed to reduce the morbidity and mortality from obturator hernia.