Traumatic obturator foramen hernia. A rare aetiology of a rare condition: A case report

Obturator hernias (OH) are rare, accounting for less than 0.05% of all hernias. The aetiology is usually attributed to chronically raised intra-abdominal pressure or cachexia with poor muscle mass. This case report describes a traumatic obturator hernia, an exceptionally rare aetiology of an already...

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Main Authors: Megan Alderuccio, Maria Kristina Vanguardia, Junius Andrew Packiyanathan, Mark Fitzgerald
Format: Article
Language:English
Published: Elsevier 2022-06-01
Series:Trauma Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2352644022000310
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author Megan Alderuccio
Maria Kristina Vanguardia
Junius Andrew Packiyanathan
Mark Fitzgerald
author_facet Megan Alderuccio
Maria Kristina Vanguardia
Junius Andrew Packiyanathan
Mark Fitzgerald
author_sort Megan Alderuccio
collection DOAJ
description Obturator hernias (OH) are rare, accounting for less than 0.05% of all hernias. The aetiology is usually attributed to chronically raised intra-abdominal pressure or cachexia with poor muscle mass. This case report describes a traumatic obturator hernia, an exceptionally rare aetiology of an already rare surgical condition. There are no previous reports of a traumatic obturator hernia in the current literature.This case reports upon the presentation, operative findings and management of a 48 year old male with abdominal and pelvic trauma following a motor bike collision. Laparotomy findings included a right sided traumatic incarcerated obturator foramen hernia with the comminuted pubic rami fracture trapping and piercing ileum within the hernia. In retrospect, the hernia was visible on CT scan. The hernia was repaired using biological mesh which was covered with adjacent peritoneum.As with much of trauma surgery, the management of this case required reliance on general principles and real time problem solving to address an issue not previously experienced by the operator, and not previously reported on in the current literature.
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spelling doaj.art-8f2b520ec67c4397a476be43b9460dc22022-12-22T00:39:38ZengElsevierTrauma Case Reports2352-64402022-06-0139100635Traumatic obturator foramen hernia. A rare aetiology of a rare condition: A case reportMegan Alderuccio0Maria Kristina Vanguardia1Junius Andrew Packiyanathan2Mark Fitzgerald3Alfred Health Department of General Surgery, Australia; Alfred Health Department of Trauma, Australia; Corresponding author at: Alfred Hospital, 55 Commercial Road, Melbourne, VIC 3004, Australia.Alfred Health Department of General Surgery, Australia; Alfred Health Department of Trauma, AustraliaAlfred Health Department of General Surgery, AustraliaAlfred Health Department of Trauma, AustraliaObturator hernias (OH) are rare, accounting for less than 0.05% of all hernias. The aetiology is usually attributed to chronically raised intra-abdominal pressure or cachexia with poor muscle mass. This case report describes a traumatic obturator hernia, an exceptionally rare aetiology of an already rare surgical condition. There are no previous reports of a traumatic obturator hernia in the current literature.This case reports upon the presentation, operative findings and management of a 48 year old male with abdominal and pelvic trauma following a motor bike collision. Laparotomy findings included a right sided traumatic incarcerated obturator foramen hernia with the comminuted pubic rami fracture trapping and piercing ileum within the hernia. In retrospect, the hernia was visible on CT scan. The hernia was repaired using biological mesh which was covered with adjacent peritoneum.As with much of trauma surgery, the management of this case required reliance on general principles and real time problem solving to address an issue not previously experienced by the operator, and not previously reported on in the current literature.http://www.sciencedirect.com/science/article/pii/S2352644022000310TraumaTrauma laparotomyObturator herniaAbdominal herniaHernia
spellingShingle Megan Alderuccio
Maria Kristina Vanguardia
Junius Andrew Packiyanathan
Mark Fitzgerald
Traumatic obturator foramen hernia. A rare aetiology of a rare condition: A case report
Trauma Case Reports
Trauma
Trauma laparotomy
Obturator hernia
Abdominal hernia
Hernia
title Traumatic obturator foramen hernia. A rare aetiology of a rare condition: A case report
title_full Traumatic obturator foramen hernia. A rare aetiology of a rare condition: A case report
title_fullStr Traumatic obturator foramen hernia. A rare aetiology of a rare condition: A case report
title_full_unstemmed Traumatic obturator foramen hernia. A rare aetiology of a rare condition: A case report
title_short Traumatic obturator foramen hernia. A rare aetiology of a rare condition: A case report
title_sort traumatic obturator foramen hernia a rare aetiology of a rare condition a case report
topic Trauma
Trauma laparotomy
Obturator hernia
Abdominal hernia
Hernia
url http://www.sciencedirect.com/science/article/pii/S2352644022000310
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AT juniusandrewpackiyanathan traumaticobturatorforamenherniaarareaetiologyofarareconditionacasereport
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