Nadir g�r�len inkarsere iki tarafl� obturator herni: Olgu sunumu

Hatipo�lu, Engin; Dal, Fatih; Umman, Veysel; Demiryas, S�leyman; Demirk�ran, Oktay; Ertem, Metin; Erg�ney, Sabri; Pekmezci, Salih

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Nadir g�r�len inkarsere iki tarafl� obturator herni: Olgu sunumu [Ulus Travma Acil Cerrahi Derg]

Ulus Travma Acil Cerrahi Derg. 2018; 24(3): 278-280 | DOI: 10.5505/tjtes.2018.36559

Nadir g�r�len inkarsere iki tarafl� obturator herni: Olgu sunumu

Engin Hatipo�lu¹, Fatih Dal¹, Veysel Umman¹, S�leyman Demiryas¹, Oktay Demirk�ran², Metin Ertem¹, Sabri Erg�ney¹, Salih Pekmezci¹
¹�stanbul �niversitesi, Cerrahpa�a T�p Fak�ltesi, Genel Cerrahi Ana Bilim Dal�
²�stanbul �niversitesi, Cerrahpa�a T�p Fak�ltesi, Anesteziyoloji ve Reanimasyon Ana Bilim Dal�

Acil cerrahi klini�imize akut mekanik intestinal obstr�ksiyon semptomlar� ile ba�vuran 84 ya��nda kad�n hasta sunuldu. Bilgisayarl� tomografi g�r�nt�lemesinde iki tarafl� inkarsere obturator herni saptand�. Defektler poliprolen yama kullan�larak Trans Abdominal Pre Peritoneal (TAPP) tekni�i uygulanarak tamir edildi. Hasta ameliyat sonras� d�rt g�n boyunca yo�un bak�m �nitesinde takip edildi, dokuzuncu g�n sorunsuz taburcu edildi. Alt�nc� ay kontrollerinde herhangi bir sorunla kar��la��lmad�. Obturator herni, intestinal obstr�ksiyonun ay�r�c� tan�s�nda d��n�lmesi gereken, erken tan� ve uygun cerrahi tedavi gerektiren bir kliniktir. Laparoskopik yakla��m, a��k yakla��ma g�re daha az invaziv olup, iskemi ve peritonit bulgusu olmayan olgularda denenebilir. Bu hastalarda TAPP tekni�i, t�m intraabdominal patololerin de�erlendirilmesi ve ba��rsaklar�n g�r�nt�lenebilmesi nedeniyle tercih edilmelidir.

Anahtar Kelimeler: Herni, laparoskopi; obstr�ksiyon; obturator.

Rare case of bilateral incarcerated obturator hernia: a case report

Engin Hatipo�lu¹, Fatih Dal¹, Veysel Umman¹, S�leyman Demiryas¹, Oktay Demirk�ran², Metin Ertem¹, Sabri Erg�ney¹, Salih Pekmezci¹
¹Department of General Surgery Istanbul University Cerrahpa�a Faculty of Medicine, �stanbul-Turkey
²Department of Anesthesiology and Reanimation, �stanbul University Cerrahpa�a Faculty of Medicine, �stanbul-Turkey

Here, we report the case of an 84-year-old woman with acute mechanical intestinal obstruction (AMIO) who was admitted to our Emergency Department. Computed tomography (CT) scan revealed an incarcerated bilateral obturator hernia, and the defect was resolved using transabdominal preperitoneal (TAPP) technique with polypropylene mesh. The patient was administered an oral regimen two days after the operation. The patient stayed in the intensive care unit for 4 days and was uneventfully discharged on the 9th postoperative day. Follow-up was scheduled at the 6th month, during which no adverse events were detected and the patient did not report any complaints. Obturator hernia is among the differential diagnoses of intestinal obstruction requiring early diagnosis and prompt surgical intervention. Laparoscopic approach is less invasive compared with open surgery, and it can be attempted in cases presenting with no sign of ischemia or peritonitis. TAPP technique should be preferred since it allows the control of all intraabdominal pathologies and the viability of the intestines.

Keywords: Hernia, laparoscopy; obsutruction; obturator.

Engin Hatipo�lu, Fatih Dal, Veysel Umman, S�leyman Demiryas, Oktay Demirk�ran, Metin Ertem, Sabri Erg�ney, Salih Pekmezci. Rare case of bilateral incarcerated obturator hernia: a case report. Ulus Travma Acil Cerrahi Derg. 2018; 24(3): 278-280

Sorumlu Yazar: Engin Hatipo�lu, T�rkiye
Makale Dili: �ngilizce

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