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J Minim Access Surg. 2018 May 24. doi: 10.4103/jmas.JMAS_21_18. [Epub ahead of print]

'Little old lady's hernia' (obturator hernia): A deceptive encounter.

Author information

1
Department of HPB Surgery and Liver Transplantation, Global Hospital, Mumbai, Maharashtra, India.
2
Department of Surgical Gastroenterology and Liver Transplant, Jaslok Hospital and Research Centre, Mumbai, Maharashtra, India.

Abstract

Obturator hernia (OH) is rare which not only carries high mortality amongst all abdominal hernia, but also known for the difficulty in diagnosing it. Howship-Romberg sign is a clinical sign to diagnose OH, but due to the lower-limb muscle contractures, it was not possible in our case. Computed tomography scan becomes the investigation of choice in this situation. A laparoscopic approach can be used safely.

KEYWORDS:

Computed tomography; Howship–Romberg sign; laparoscopic; obturator hernia

PMID:
29794358
DOI:
10.4103/jmas.JMAS_21_18
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