{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:07:00Z","timestamp":1753877220673,"version":"3.41.2"},"reference-count":14,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2022,4,28]],"date-time":"2022-04-28T00:00:00Z","timestamp":1651104000000},"content-version":"vor","delay-in-days":27,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,4,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>An obturator hernia is the protrusion of an organ\/tissue through the obturator canal. Fondly called \u2018little old lady\u2019s hernia\u2019, as they typically affect elderly thin female patients [7]. They are rare and difficult to clinically diagnose [2]. Diagnosis is often delayed and presentation could vary from symptoms of bowel obstruction, and pain in the groin or medial thigh [6] to atypical presentations like in our case. We report a case of a 99-year-old female with a 3-day history of low back pain, nausea and constipation. Computerized tomography scan revealed small bowel obstruction with transition point in left obturator hernia. The obstruction was successfully relieved via surgery without the need for bowel resection. This case highlights the importance of a high index of suspicion when faced with vague symptoms. Obturator hernias carry a reasonable degree of morbidity and mortality without intervention but have good outcomes if promptly managed.<\/jats:p>","DOI":"10.1093\/jscr\/rjac174","type":"journal-article","created":{"date-parts":[[2022,4,21]],"date-time":"2022-04-21T03:16:08Z","timestamp":1650510968000},"source":"Crossref","is-referenced-by-count":1,"title":["Atypical presentation of an obstructed obturator hernia in a 99-year-old female: a case report"],"prefix":"10.1093","volume":"2022","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8332-8252","authenticated-orcid":false,"given":"Ngozi","family":"Anyaugo","sequence":"first","affiliation":[{"name":"Department of General Surgery, Weston General Hospital, Grange Road Uphill, Weston-super-Mare, University Hospitals Bristol and Weston NHS Trust, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Obisike","family":"Nwogwugwu","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Weston General Hospital, Grange Road Uphill, Weston-super-Mare, University Hospitals Bristol and Weston NHS Trust, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chiara","family":"Rossi","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Weston General Hospital, Grange Road Uphill, Weston-super-Mare, University Hospitals Bristol and Weston NHS Trust, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zara","family":"Toney","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Weston General Hospital, Grange Road Uphill, Weston-super-Mare, University Hospitals Bristol and Weston NHS Trust, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2022,4,27]]},"reference":[{"key":"2022042814411432000_ref1","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1016\/S0002-9610(97)00024-X","article-title":"Obturator hernia is an unsuspected diagnosis","volume":"174","author":"Naude","year":"1997","journal-title":"Am J Surg"},{"key":"2022042814411432000_ref2","first-page":"2081","article-title":"Sixty-one cases of obturator hernia in Chiangrai regional hospital: retrospective study","volume":"89","author":"Thanapaisan","year":"2006","journal-title":"J Med Assoc Thai"},{"key":"2022042814411432000_ref3","first-page":"266","article-title":"Obturator hernia: a continuing diagnostic challenge","volume":"113","author":"Yip","year":"1993","journal-title":"Surgery"},{"key":"2022042814411432000_ref4","doi-asserted-by":"crossref","first-page":"735","DOI":"10.2214\/ajr.140.4.735","article-title":"Obturator hernia diagnosed by computed tomography","volume":"140","author":"Cubillo","year":"1983","journal-title":"Am J Roentgenology"},{"key":"2022042814411432000_ref5","doi-asserted-by":"crossref","first-page":"387","DOI":"10.1007\/s10029-013-1169-5","article-title":"Surgical morbidity and mortality in obturator hernia: a 10-year retrospective risk factor evaluation","volume":"18","author":"Chan","year":"2014","journal-title":"Hernia"},{"key":"2022042814411432000_ref6","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1186\/s13256-021-02793-7","article-title":"Obturator hernia: a case report","volume":"15","author":"Major","year":"2021","journal-title":"J Med Case Reports"},{"key":"2022042814411432000_ref7","doi-asserted-by":"crossref","first-page":"180","DOI":"10.4103\/jmas.JMAS_21_18","article-title":"Little old lady's hernia' (obturator hernia): a deceptive encounter","volume":"15","author":"Dhakre","year":"2019","journal-title":"J Min Access Surg"},{"key":"2022042814411432000_ref8","doi-asserted-by":"crossref","first-page":"267","DOI":"10.4103\/0022-3859.192663","article-title":"Obturator hernia: an uncommon cause of small bowel obstruction","volume":"62","author":"Shreshtha","year":"2016","journal-title":"J Postgrad Med"},{"key":"2022042814411432000_ref9","doi-asserted-by":"crossref","first-page":"235","DOI":"10.1007\/s10029-020-02296-2","article-title":"Role of the signs of obturator hernia in clinical practice","volume":"25","author":"Yale","year":"2021","journal-title":"Hernia"},{"key":"2022042814411432000_ref10","doi-asserted-by":"crossref","first-page":"rjaa599","DOI":"10.1093\/jscr\/rjaa599","article-title":"Obturator hernia: a delayed diagnosis. A case report with literature review","volume":"2021","author":"Siddiqui","year":"2021","journal-title":"J Surg Case Rep"},{"key":"2022042814411432000_ref11","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":"2022042814411432000_ref12","first-page":"69","article-title":"Two different surgical approaches for strangulated obturator hernias","volume":"19","author":"Sze Li","year":"2012","journal-title":"Malays J Med Sci"},{"key":"2022042814411432000_ref13","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1007\/s100290100018","article-title":"Obturator hernia: the plug technique","volume":"5","author":"Mart\u00ednez Insua","year":"2001","journal-title":"Hernia"},{"key":"2022042814411432000_ref14","doi-asserted-by":"crossref","first-page":"889","DOI":"10.1016\/j.ijscr.2013.07.012","article-title":"Obturator hernia: a case report and review of the literature","volume":"4","author":"Hodgins","year":"2013","journal-title":"Int J Surg Case Rep"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2022\/4\/rjac174\/43479028\/rjac174.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2022\/4\/rjac174\/43479028\/rjac174.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,4,28]],"date-time":"2022-04-28T16:01:20Z","timestamp":1651161680000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjac174\/6574898"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,4,1]]},"references-count":14,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2022,4,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjac174","relation":{},"ISSN":["2042-8812"],"issn-type":[{"type":"electronic","value":"2042-8812"}],"subject":[],"published-other":{"date-parts":[[2022,4]]},"published":{"date-parts":[[2022,4,1]]},"article-number":"rjac174"}}