Resumen
La hernia obturatriz es una causa rara de obstrucción intestinal. Es frecuente en mujeres multíparas, con pérdida de peso marcada. El diagnóstico preoperatorio es un reto y su manejo es quirúrgico, pero dada su poca frecuencia no existen recomendaciones sobre una técnica universal. Se presenta el caso de una mujer con obstrucción intestinal y diagnóstico tomográfico de hernia obturatriz. Se realiza abordaje mediante laparotomía infraumbilical, con reducción exitosa de la hernia y reparación con malla sin resección intestinal.
Palabras clave: Hernia obturatriz Obstrucción intestinal Tomografía computarizada
Abstract
Obturator hernias are a rare cause of intestinal obstruction. This disease is more prevalent in multiparous women, with a marked weight loss. The preoperative diagnosis is a challenge and its treatment is only surgical. Besides the rare presentation of this kind of hernias, there is not a gold standard approach for its management. The case of a 79-year-old female with clinical complaints of intestinal obstruction is presented. An abdominal computed tomography is carried out and the image of right obturator hernia is found. Successful reduction of the hernial sac with mesh was performed without bowel resection
Keywords: Obturator hernia Intestinal obstruction Computed tomography