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Usefulness of CT for differentiating between obturator hernia and other causes of small bowel obstruction
  1. Chih-Cheng Lai1,
  2. Shih-Horng Huang2,
  3. Wan-Hsiu Liao3,
  4. Sheng-Hsiang Lin4,5
  1. 1Department of Intensive Care Medicine, Chi-Mei Medical Center, Liouying, Tainan, Taiwan
  2. 2Department of Surgery, New Taipei City Hospital, New Taipei, Taiwan
  3. 3Department of Family Medicine, New Taipei City Hospital, New Taipei, Taiwan
  4. 4Department of Internal Medicine, New Taipei City Hospital, New Taipei, Taiwan
  5. 5Department of Respiratory Therapy, Fu-Jen Catholic University, New Taipei, Taiwan
  1. Correspondence to Dr Sheng-Hsiang Lin, Department of Internal Medicine, New Taipei City Hospital, No 2, Chung-Shan Road, San-Chong District, New Taipei City 24141, Taiwan; linsh01{at}gmail.com

http://dx.doi.org/10.1136/postgradmedj-2013-131761

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    INTRODUCTION

    Small bowel obstruction has a variety of causes and preoperative diagnosis is often difficult.1 Computed tomography (CT) provides specific findings in the early diagnosis of obturator hernia.2 ,3 Here, we present a case in which obturator hernia was readily diagnosed using CT.

    Case

    An 82-year-old woman presented to the emergency department; she had had nausea and vomiting for 4 days. She had a history of hypertension and five normal spontaneous vaginal births. Initial inspection showed a thin woman with body weight 30 kg and height 141 cm. The tender abdomen was mildly distended without peritoneal signs. The bowel sounds were reduced. Haemoglobin level was mildly decreased (11.4 g/dL) with a raised total while cell count of 12 650/μL and neutrophilia (86.5%). Her metabolic profile …

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    Footnotes

    • Contributors All authors contributed equally.

    • Competing interests None.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.