{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T23:24:50Z","timestamp":1780615490804,"version":"3.54.1"},"reference-count":8,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2018,1,1]],"date-time":"2018-01-01T00:00:00Z","timestamp":1514764800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2017,12,7]],"date-time":"2017-12-07T00:00:00Z","timestamp":1512604800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2018,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>The obturator hernia is a rare pelvic hernia that often comes in the shape of bowel obstruction caused by the presence of an intestinal segment, more often ileum, passing trough the obturator foramen of the pelvic wall (Fig. 1). This type of hernia accounts for 0.5-1.4% of all hernias.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation:<\/jats:title>\n                    <jats:p>\n                      We report the clinical case of a 84-year-old woman with no previous surgical interventions, who went to the emergency room complaining of vomit and nausea, bowels closed to gas and stool, which she had experienced for three previous days. Routine blood test showed impaired renal function and hydrohelectrolyte imbalance. A CT scan revealed a right ileal, strangulated obturator hernia. The patient underwent an emergency surgical intervention with laparoscopic\n                      <jats:italic toggle=\"yes\">trans<\/jats:italic>\n                      -abdominal peritoneal approach (TAP): after the reduction of the herniated segment, a primary suturing of the parietal defect was performed without ileal resection.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>Because of the non-specific symptoms the diagnosis of this kind of hernia is often unclear; female are 6-9 times more likely than men to be subject to the aforementioned pathology, mostly occurring in multiparous, emaciated, elderly woman so it is also called \u201cthe little old lady's hernia\u201d. Risk factors are loss of weight, chronic pulmonary disease and ascites which increase the abdominal pressure. An unfrequent presenting sign is a palpable mass, or the Howship-Romberg sign- a pain radiating from the inner tigh and knee \u2212 but it could be misleading when confused with symptoms of gonarthrosis or lumbar vertebral disc pathology. CT scan has superior sensitivity and accuracy with respect to other radiological exams to assess the presence of an obturator hernia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Obturator hernia is a rare type of hernia due to his diagnosis, which is often unclear; a prompt suspect based for the non-specific symptoms is crucial for the diagnosis. Surgical management depends on early diagnosis and it is the only possible treatment for this pathology.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2017.12.003","type":"journal-article","created":{"date-parts":[[2017,12,8]],"date-time":"2017-12-08T12:22:31Z","timestamp":1512735751000},"page":"154-157","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":10,"title":["Bowel obstruction in obturator hernia"],"prefix":"10.1097","volume":"42","author":[{"given":"L.","family":"Conti","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.","family":"Baldini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Capelli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Capelli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-36-20260114","doi-asserted-by":"crossref","first-page":"214","DOI":"10.1007\/PL00013176","article-title":"Thirty-six cases of obturator hernia: does computed tomography contribute to postoperative outcome?","volume":"23","author":"Yokoyama","year":"1999","journal-title":"World J. Surg"},{"key":"R2-36-20260114","doi-asserted-by":"crossref","first-page":"883","DOI":"10.1016\/S0736-4679(99)00100-6","article-title":"Obturator hernia: the usefulness of emergent computed tomography for early diagnosis","volume":"17","author":"Terado","year":"1999","journal-title":"J. Emerg. Med"},{"key":"R4-36-20260114","doi-asserted-by":"crossref","first-page":"450","DOI":"10.1007\/s00268-004-7664-1","article-title":"A review of obturator her- nia and a proposed algorithm for its diagnosis and treatment","volume":"29","author":"Chang","year":"2005","journal-title":"World J. Surg"},{"key":"R5-36-20260114","first-page":"217","article-title":"Obturator hernia","volume":"167","author":"Bjork","year":"1988","journal-title":"Surg. Gynecol. Obstet"},{"key":"R6-36-20260114","first-page":"866","article-title":"Obturator hernia: diagnosis and treatment in the modern era","volume":"50","author":"Mantoo","year":"2009","journal-title":"Singapore Med. J"},{"key":"R7-36-20260114","doi-asserted-by":"crossref","first-page":"954","DOI":"10.1007\/s00464-003-8212-z","article-title":"Totally extraperitoneal repair of obturator hernia","volume":"18","author":"Shapiro","year":"2004","journal-title":"Surg. Endosc"},{"key":"R8-36-20260114","first-page":"179","article-title":"Obturator hernia\u2014Review of three cases","volume":"29","author":"Dorai Thambi","year":"1988","journal-title":"Singapore Med. J"},{"key":"R9-36-20260114","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1007\/s10029-008-0406-9","article-title":"Obturator hernia: a diagnostic challenge","volume":"13","author":"Pandey","year":"2009","journal-title":"Hernia"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261217306508?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261217306508?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/01612930-201842000-00036","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T13:15:52Z","timestamp":1768396552000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/01612930-201842000-00036"}},"subtitle":["A challenging diagnosis"],"short-title":[],"issued":{"date-parts":[[2018,1]]},"references-count":8,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2018]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2017.12.003","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2018,1]]}}}