Table 1 The clinical pictures of the three cases of incarcerated obturator hernia
From: Incarcerated obturator hernia: pitfalls in the application of ultrasound
| Â | Case 1 | Case 2 | Case 3 |
|---|---|---|---|
Age/sex | 84/female | 77/female | 72/female |
Body height/weight (cm/kg) | 145/41 | 162/40 | 158/36 |
Previous history of delivery/laparotomy | 3Â times/none | None/none | Once/none |
Associate medical conditions | AV block | Diabetes mellitus | COPD, Angina, AR |
Chief complaints | Diffuse abdominal pain | RLQ pain | No pain |
No vomiting | No vomiting | Vomiting | |
Duration from the onset to admission | 38Â h | 24Â h | 48Â h |
Vital signs | Stable | Stable | Shock |
Physical findings in the femoral triangle | Bulge with tenderness | No bulge | No bulge |
Laboratory data | WBC 7,300/μL | WBC 8,300/μL | WBC 24,100/μL |
CPK 110Â IU | CPK 21Â IU | CPK 3,498Â IU | |
| Â | Â | Amylase 1,466Â IU | |
Plain X-ray diagnosis | SBO | SBO | SBO |
Ultrasound diagnosis (initial exam. → re-exam.) | SBO due to incarcerated femoral hernia | SBO due to incarcerated obturator hernia | SBO due to unknown cause → incarcerated obturator hernia |
CT diagnosis | Not performed | SBO due to incarcerated obturator hernia | SBO due to incarcerated obturator hernia |
Laparotomy | Herniorrhaphy without enterectomy | Herniorrhaphy without eneterectomy | Herniorrhaphy with enterectomy |