Obturator hernia
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 |
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| ICD-9 | 553.8 |
| DiseasesDB | 29334 |
| MeSH | D006553 |
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Obturator hernia Microchapters |
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Diagnosis |
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Case Studies |
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Obturator hernia On the Web |
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American Roentgen Ray Society Images of Obturator hernia |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [3]
Overview
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Obturator hernia Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Obturator hernia On the Web |
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American Roentgen Ray Society Images of 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