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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.
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 …
Contributors All authors contributed equally.
Competing interests None.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.