Obturator hernia with Meckel's diverticulum in hernial sac

• Main Authors: Nović Igor, Mišić Jovica, Lazić Predrag
• Format: Article
• Language: English
• Published: Medical Society of the Republic of Srpska, Banja Luka, University of Banja Luka. Faculty of Medicine 2014-01-01
• Series: Scripta Medica
• Subjects: obturator hernia; meckel's diverticulum; computed tomography
• Online Access: https://scindeks-clanci.ceon.rs/data/pdf/2490-3329/2014/2490-33291402081N.pdf

Obturator hernia rarely occurs; it represents less than 2% of all abdominal hernias. It is a protrusion of the preperitoneal fat tissue or peritoneal defect through the obturator channel. Rule is that it is a disease of skinny, older women (seventh or eighth decades), usually multiparous, predominantly right-sided, usually incarcerated, rarely diagnosed preoperatively. The clinical diagnosis is rarely set due to the unclear signs and symptoms. Because of the delayed diagnosis the postoperative morbidity and mortality is significantly increased. CT of the pelvis is almost 100% accurate in the diagnosis of the obturator hernias and should be the modality of choice in elderly patients with the bowel obstruction of an unknown etiology. We report a case of a 70 -year- old woman who had been admitted to our department on several occasions due to the suboclusive problems and the obturator hernia with a Meckel's diverticulum was verified intraoperatively.