Article: CASE NOTE: Perforated obturator Littre hernia

Article from:
Canadian Journal of Surgery
Article date:
June 1, 2009
Author:
Copyright

Meckel diverticulum and obturator hernia are rare causes of intestinal obstruction. We present the unique case of an elderly woman with acute abdomen secondary to the coexistence of both these conditions.

CASE REPORT

A 75-year-old woman presented with a 5-day history of abdominal pain, constipation and vomiting. Her symptoms followed acute gastroenteritis, which was managed conservatively at another centre. She was also experiencing obscure pain in her right knee.

On examination, her body mass index was 16, and she was dehydrated. Abdominal examination revealed central distention with visible bowel coils. There were no signs of peritonism, but bowel sounds were absent. External hernial ...

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