Obturator hernia: Difference between revisions

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==[[Obturator hernia overview|Overview]]==


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Revision as of 15:44, 17 September 2020


Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Yarlagadda Harshitha, MD[2]

Synonyms and keywords: Hernia, Obturator.

For patient information page on Hernia, click here

Obturator hernia
ICD-10 K45.0
ICD-9 553.8
DiseasesDB 29334
MeSH D006553

Obturator hernia Microchapters

Home

Patient Information

Overview

Historical Perspective

Pathophysiology

Causes

Differentiating Obturator hernia from other Diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

X Ray

CT

Ultrasound

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Obturator hernia On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Obturator hernia

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Obturator hernia

CDC on Obturator hernia

Obturator hernia in the news

Blogs on Obturator hernia

Directions to Hospitals Treating Obturator hernia

Risk calculators and risk factors for Obturator hernia

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [3]

Overview

Obturator hernia Microchapters

Home

Patient Information

Overview

Historical Perspective

Pathophysiology

Causes

Differentiating Obturator hernia from other Diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

X Ray

CT

Ultrasound

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Obturator hernia On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Obturator hernia

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Obturator hernia

CDC on Obturator hernia

Obturator hernia in the news

Blogs on Obturator hernia

Directions to Hospitals Treating Obturator hernia

Risk calculators and risk factors for Obturator hernia

Overview

Physicians should reassess the patients with recurrent chronic pelvic pain as Obturator hernias are rare and can present as chronic pelvic pain. Obturator foramen is a large, obliquely oriented opening, located at the anterior aspect of both sides of pelvis, bounded by parts of ischium and pubis. Obturator hernia passess through the Obturator foramen following the path of Obturator nerve and blood vessels. These hernias are more common in elderly multiparous women. Obturator hernia must be differentiated from other causes of chronic pelvic pain and groin mass in elderly females. CT scan usually confirms the diagnosis of Obturator hernia. Surgery is the main stay of treatment for Obturator hernia.

Historical Perspective

The Obturator hernia was first described by Pierre Roland Arnaud de Ronsil, at the Royal Academy of sciences in 1724. It is a rare condition and by 1980 only 541 cases have been reported in the literature.

Pathophysiology

Obturator foramen is a large, obliquely oriented opening, located at the anterior aspect of both sides of pelvis, bounded by parts of ischium and pubis. This hernia passes through the obturator foramen, following the path of the obturator nerve and blood vessels. Contents of the Hernial sac in Obturator hernia include Ileum, appendix, omentum, peritoneum. Most common content is ileum.

Causes

Exact reason of obturator hernia is unknown. Possible reasons involve the natural aging process. As adults age, the body loses muscle mass and fatty tissue. Sudden weight loss and malnutrition can have the same effect.

Differentiating obturator hernia from other diseases

Epidemiology and Demographics

Most common in older women. Obturator hernia is a rare hernia accounting for less than 1% of all intra abdominal hernias.

Historical Perspective

Pathophysiology

Causes

Differentiating Obturator hernia from other Diseases

Overview

Obturator hernia must be differentiated from other causes of chronic pelvic pain and groin mass in elderly females.

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms | Physical Examination | Laboratory Findings | X Ray | CT | Ultrasound | Other Imaging Findings | Other Diagnostic Studies

Treatment

Medical Therapy | Surgery | Primary Prevention | Secondary Prevention | Cost-Effectiveness of Therapy | Future or Investigational Therapies

Case Studies

Case #1

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