A new technique for the incarcerated ileum reduction during laparoscopic obturator hernia repair: A case report and systemic review

Abstract

Obturator hernia (OH) is a rare condition in all abdominal wall hernias, which usually presents with the symptoms of bowel obstruction caused by incarcerated intestinal segment, generally the ileum. We report a clinical case of an 81-year-old thin woman with 8-day history of nausea, vomiting, abdominal pain, and distension that aggravated for 1 day. A computed tomography scan showed an intestinal segment herniated into the obturator foramen in the left pelvic floor. A diagnosis of a left ileal, strangulated OH was made. A protective reduction management, air replacement method, was used to reduce the incarcerated ileum. Nonspecific symptoms of OH add difficulty in making diagnosis. Symptoms of bowel obstruction in patients with OH indicate incarceration. It is commonly seen in thin, elderly, multiparous women. Several ways for the reduction in patients with strangulated OH are described. Surgical approaches are the only choice for treatment. OH, a rare type in all hernias, is difficult to be diagnosed because of nonspecific symptoms. Air replacement method can reduce the incarcerated ileum successfully without unintentional injury.

Keywords

• air replacement method
• bowel obstruction
• laparoscopic repair
• obturator hernia