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Obturator Hernia: A Report of Three Cases and Review of the Literature

閉孔疝氣:三個病例報告及文獻回顧

摘要


閉孔疝氣是一種發生在羸弱老年婦女的罕見疝氣,其高死亡率主因於延遲診斷及病人潛在疾病。近來研究顯示,對於有懷疑的病人實施電腦斷層檢查可以提高術前診斷率。至今對於手術修補此類疝氣仍未有共識。我們報告三個藉由電腦斷層檢查獲得術前診斷的病例。在其中,有一位患者曾有外傷性骨盆腔骨折造成閉孔變形的病史,也應作為危險因子的考量。

並列摘要


Obturator hernia is known to be a rare kind of hernia that often occurs in debilitated and / or aging women. High mortality rate has been reported to be due to delayed diagnosis and associated medical illness. Emerging evidence suggests that accurate preoperative diagnostic sensitivity can be obtained with abdominal computed tomography. Thus far, there is no consensus regarding the suitability of surgical repair for obturator hernia. Here we report three cases that have been diagnosed accurately with computed tomography. Among them, one has a history of therapeutic pelvic fracture. Thus we report here that pelvic injury may also constitute a risk factor for the occurrence of obturator hernia.

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