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Emergency incarcerated obturator hernia repair with biologic mesh in a male patient after ipsilateral hip disarticulation

Title: Emergency incarcerated obturator hernia repair with biologic mesh in a male patient after ipsilateral hip disarticulation: A case report.
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Name(s): Oviedo, Rodolfo J, author
Molinari, Alexander H W, author
Type of Resource: text
Genre: Journal Article
Text
Date Issued: 2017-01-01
Physical Form: computer
online resource
Extent: 1 online resource
Language(s): English
Abstract/Description: An obturator hernia is an uncommon form of abdominal hernia that is difficult to diagnose due to its non-distinct presentation. This case investigates an emergency treatment of an obturator hernia presenting in a patient with an ipsilateral hip disarticulation in a 266-bed community hospital. A 53-year old man with a history of a left hip disarticulation 3-weeks prior presented to the emergency department with fever, nausea, vomiting, and diarrhea for the past 5-days. An elevated WBC and presence of gas within the hip stump on CT led to an emergency operation to rule out necrotizing fasciitis within the stump. Opening of the stump incision revealed two herniated loops of small bowel corresponding to the left obturator foramen, revealing the diagnosis of an incarcerated obturator hernia. The bowel was reduced and secured within the hip stump and the defect was covered with Strattice biologic mesh. Obturator hernias are rare and can involve vague symptoms, but it is essential to make an accurate diagnosis and repair the defect on an emergency basis. Obturator hernias may appear in the setting of a hip disarticulation, being caused by iatrogenic anatomic alteration, and can be treated in a community acute care hospital. Being aware of the possibility of obturator foramen herniation and bowel incarceration as part of the differential diagnosis for patients with abdominal pain after a prior hip disarticulation can facilitate prompt diagnosis and reduce morbidity and mortality.
Identifier: FSU_pmch_28633126 (IID), 10.1016/j.ijscr.2017.06.003 (DOI), PMC5479947 (PMCID), 28633126 (RID), 28633126 (EID), S2210-2612(17)30254-7 (PII)
Keywords: Emergency, Hip disarticulation, Incarcerated bowel, Mesh repair, Obturator foramen, Obturator hernia
Publication Note: This NIH-funded author manuscript originally appeared in PubMed Central at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5479947.
Persistent Link to This Record: http://purl.flvc.org/fsu/fd/FSU_pmch_28633126
Owner Institution: FSU
Is Part Of: International journal of surgery case reports.
2210-2612
Issue: vol. 37

Choose the citation style.
Oviedo, R. J., & Molinari, A. H. W. (2017). Emergency incarcerated obturator hernia repair with biologic mesh in a male patient after ipsilateral hip disarticulation: A case report. International Journal Of Surgery Case Reports. Retrieved from http://purl.flvc.org/fsu/fd/FSU_pmch_28633126