Little Old Ladies Hernia A Case Report

Rajnish Meena, Rahul Kankhedia

Abstract: Obturator hernia is a very rare variety of pelvic hernia accounting for approximately 0.05-0.4 of all abdominal hernias 1. It is referred to as the little old ladies hernia owing to its prevalence in old frail ladies. The morbidity and mortality rates are high. The most common clinical presentation is intestinal obstruction with or without features of strangulation. We recently managed an 80 year old lady who presented with intestinal obstruction due to an incarcerated left obturator hernia. She was diagnosed preoperatively with a contrast enhanced computed tomography (CECT) abdomen and operated successfully by laparotomy. The radiologist and clinician should be aware of this clinical entity as it most often presents very late and early diagnosis is imperative for successful management and better prognosis.

Keywords: Little old ladys hernia, intestinal obstruction, CT Scan, obturator hernia, strangulation