CT Findings of Obturator Hernia_West China Medical Journal

Authors：

CHEN Xinyue , ZHAO Shuang ,  LIU Rongbo

Department of Radiology, West China Hospital, Sichuan University, Chengdu, Sichuan 610041,P.R.China;

Corresponding author：

LIU Rongbo, Email: chenguaiguai@yahoo.com.cn

Keywords：

闭孔疝; 体层摄影术; X线计算机

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【摘要】　目的　探讨闭孔疝的CT表现，以提高对其疾病的诊断水平。　方法　回顾性分析2009年10月-2010年9月收治的经手术或临床资料证实的3例闭孔疝患者的CT影像学表现，观察闭孔疝发生的位置、密度、形态、强化特征及继发征象。　结果　 3例闭孔疝均为老年消瘦患者，CT检查发现疝囊位于闭孔外肌与耻骨肌间疝出1例，闭孔外肌上、中束间疝出2例，所有疝出物均为肠管，表现为疝出部位囊性密度影，1例肠壁可见增厚、水肿，诊断为肠壁血运障碍，及时行手术治疗后预后良好。　结论　 CT检查是闭孔疝有效的检测手段，特别是对于不明原因腹痛合并肠梗阻的老年消瘦患者，CT检查将有助于临床确诊。
【Abstract】　Objective　 To observe the manifestations of CT images of obturator hernia to improve the diagnosis of obturator hernia. 　Methods　 The CT images of three patients with obturator hernia confirmed by surgery or clinical data from October 2009 to September 2010 were retrospectively analyzed. The location, density, morphology, enhancement patterns and secondary signs were observed. 　Results　 Three patients with obturator hernia were elder and emaciated. The hernia sac located between the pectineus and obturator externus muscles in two patients, between the superior and medial fasciculi of the obturator externus muscle in one patient. All contents were small intestine, performed as a low-density mass in the location. One patient with thick and hydropic intestinal wall diagnosed as strangulated obturator hernia had a good prognosis after immediately laparotomy. 　Conclusion　 CT examine is an effective measure for obturator hernia, especially for elder and emaciated patients with intestine obstruction due to unknown reason. CT examine is helpful for the diagnosis.

Citation： CHEN Xinyue,ZHAO Shuang,LIU Rongbo. CT Findings of Obturator Hernia. West China Medical Journal, 2010, 25(12): 2195-2198. doi: Copy

1.	Ziegler DW, Rhoads JE. Obturator hernia needs a laparotomy, not a diagnosis [J]. Am J Surg. , 1995, 170(1): 67-68.
2.	Jorge CG, Manuel RD, Alexandro ED, et al. Incarcerated obturator hernia successfully treated by laparoscopy [J]. Surg Laparosc Endosc, 1998, 8(1): 71-73.
3.	Ijiri R, Kanamaru H, Yokoyama H, et al. Obturator hernia: the usefulness of computed tomography in diagnosis [J]. Surgery, 1996, 119(2): 137-140.
4.	Terada R, Ito S, Kidogawa H, et al. Obturator hernia: the usefulness of emergent computed tomography for early diagnosis [J]. J Emerg Med, 1999, 17(5): 883-886.
5.	Standring S. Gray’s anatomy: the anatomical basis of clinical practice[M]. Elsevier: Churchill Livingstone, 2004: 1357-1362.
6.	Skandalakis LJ, Androulakis J, Colborn GL, et al. Obturator hernia. Embryology, anatomy, and surgical applications [J]. Surg Clin North Am, 2000, 80(1): 71-84.
7.	Skandalakis LJ, Skandalakis PN, Gray SW, et al. Obturator hernia [J]. Hernia, 1995, 4(2): 425-439.
8.	Callaghan CJ, Whitaker RH. Obturator canal fat plug: a pre-hernia condition? [J]. Clin Anat, 2002, 15(4): 276-279.
9.	Chu CW, Loftns WK, Somers SS, et al. Obturator hernia diagnosed by computed tomography [J]. Aust NZJ Surg, 1996, 67(8): 737-738.
10.	Kammori M, Mafune K, Hirashima T, et al. Forty-three cases of obturator hernia[J]. Am J Surg, 2004, 187(4): 549-552.
11.	Terada R, Ito S, Kidogawa H , et al. Obturator hernia : The usefulness of emergent computed tomography for early diagnosis[J]. J Emerg Educine, 1999, 17 (5): 883.
12.	Nishina M, Fujii C, Ogino R, et al. Properative diagnosis of obturator hernia by computed tomography in six patients[J]. J Emerg Med, 2001, 20(3): 277.
13.	吴先麟, 蔡魏, 张光全, 等. 闭孔疝的术前诊断和手术治疗14例临床分析[J]. 局解手术学杂志, 2006, 15(2): 96-97.
14.	Cali RL, Pitsch RM, Blatchford GJ, et al. Rare pelvic floor hernias: report of a case and review of the literature [J]. Dis Colon Rectum, 1992, 35(6): 604-612.
15.	Yip AW, AhChong AK, Lam KH. Obturator hernia: a continuing diagnostic challenge [J]. Surgery, 1993, 113(3): 266-269.
16.	Naude G, Bongard F. Obutartor hernia is an unsuspected diagnosis [J]. Am J Surg, 1997, 174(1): 72-75.
17.	谢辉, 于海东, 桑文. 闭孔疝的早期诊治13例分析[J]. 昆明医学院学报, 2009, 30(12): 131-133.
18.	Nishina M, Fujii C, Ogino R, et al. Preoperative diagnosis of obturator hernia by computed tomography in six patients[J]. J Emerg Med, 2001, 20(3): 277-280.

1. 　Ziegler DW, Rhoads JE. Obturator hernia needs a laparotomy, not a diagnosis [J]. Am J Surg. , 1995, 170(1): 67-68.
2. 　Jorge CG, Manuel RD, Alexandro ED, et al. Incarcerated obturator hernia successfully treated by laparoscopy [J]. Surg Laparosc Endosc, 1998, 8(1): 71-73.
3. 　Ijiri R, Kanamaru H, Yokoyama H, et al. Obturator hernia: the usefulness of computed tomography in diagnosis [J]. Surgery, 1996, 119(2): 137-140.
4. 　Terada R, Ito S, Kidogawa H, et al. Obturator hernia: the usefulness of emergent computed tomography for early diagnosis [J]. J Emerg Med, 1999, 17(5): 883-886.
5. 　Standring S. Gray’s anatomy: the anatomical basis of clinical practice[M]. Elsevier: Churchill Livingstone, 2004: 1357-1362.
6. 　Skandalakis LJ, Androulakis J, Colborn GL, et al. Obturator hernia. Embryology, anatomy, and surgical applications [J]. Surg Clin North Am, 2000, 80(1): 71-84.
7. 　Skandalakis LJ, Skandalakis PN, Gray SW, et al. Obturator hernia [J]. Hernia, 1995, 4(2): 425-439.
8. 　Callaghan CJ, Whitaker RH. Obturator canal fat plug: a pre-hernia condition? [J]. Clin Anat, 2002, 15(4): 276-279.
9. 　Chu CW, Loftns WK, Somers SS, et al. Obturator hernia diagnosed by computed tomography [J]. Aust NZJ Surg, 1996, 67(8): 737-738.
10. 　Kammori M, Mafune K, Hirashima T, et al. Forty-three cases of obturator hernia[J]. Am J Surg, 2004, 187(4): 549-552.
11. 　Terada R, Ito S, Kidogawa H , et al. Obturator hernia : The usefulness of emergent computed tomography for early diagnosis[J]. J Emerg Educine, 1999, 17 (5): 883.
12. 　Nishina M, Fujii C, Ogino R, et al. Properative diagnosis of obturator hernia by computed tomography in six patients[J]. J Emerg Med, 2001, 20(3): 277.
13. 　吴先麟, 蔡魏, 张光全, 等. 闭孔疝的术前诊断和手术治疗14例临床分析[J]. 局解手术学杂志, 2006, 15(2): 96-97.
14. 　Cali RL, Pitsch RM, Blatchford GJ, et al. Rare pelvic floor hernias: report of a case and review of the literature [J]. Dis Colon Rectum, 1992, 35(6): 604-612.
15. 　Yip AW, AhChong AK, Lam KH. Obturator hernia: a continuing diagnostic challenge [J]. Surgery, 1993, 113(3): 266-269.
16. 　Naude G, Bongard F. Obutartor hernia is an unsuspected diagnosis [J]. Am J Surg, 1997, 174(1): 72-75.
17. 　谢辉, 于海东, 桑文. 闭孔疝的早期诊治13例分析[J]. 昆明医学院学报, 2009, 30(12): 131-133.
18. 　Nishina M, Fujii C, Ogino R, et al. Preoperative diagnosis of obturator hernia by computed tomography in six patients[J]. J Emerg Med, 2001, 20(3): 277-280.

West China Medical Journal

CT Findings of Obturator Hernia

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