Obturator herni kal�a ve diz a�r�s�n�n ay�r�c� tan�s�nda yer almal�d�r

Belli, Ahmet Korkut; Memi�, G�nd�z; Dere, �zcan; Ko�an, Ula�; Nazl�, Okay

Cilt : 22 Say� : 6 Y�l : 2024

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Obturator herni kal�a ve diz a�r�s�n�n ay�r�c� tan�s�nda yer almal�d�r [Ulus Travma Acil Cerrahi Derg]

Ulus Travma Acil Cerrahi Derg. 2016; 22(6): 575-577 | DOI: 10.5505/tjtes.2016.91582

Obturator herni kal�a ve diz a�r�s�n�n ay�r�c� tan�s�nda yer almal�d�r

Ahmet Korkut Belli¹, G�nd�z Memi�¹, �zcan Dere¹, Ula� Ko�an², Okay Nazl�¹
¹Mu�la Sitki Ko�man �niversitesi T�p Fak�ltesi, Genel Cerrahi Anabilim Dal�, Mu�la
²Mu�la Sitki Ko�man �niversitesi T�p Fak�ltesi, Radyoloji Anabilim Dal�, Mu�la

Obturator herni t�m hernilerin yakla��k olarak %0.05�1.4��n� olu�turan nadir bir hastal�kt�r. Genellikle zay�f, ya�l� ve d��k�n kad�nlarda g�r�lmektedir. Uyluk i� k�sm�ndan dize yay�lan a�r� (Howship Romberg bulgusu) hastal��a �zg�d�r. Bu yaz�da, obturator f�t�k tan�s� alan bir hasta ve obturator f�t��n tan�sal g��l�kleri sunuldu. Yetmi� �� ya��nda d��k�n bir hasta, bulant�, i�tahs�zl�k ve sol kal�as�ndan uyluk i� k�sm�na ve dize yay�lan �iddetli a�r� �ikayeti ile acil servise ba�vurdu. �ncelikli vertebral disk hernisi d��n�len hastan�n �ekilen abdomino-pelvik bilgisayarl� tomografisinde sol obturator f�t�k saptand�. Obturator f�t�k tan�s� g�� olan nadir bir hastal�kt�r. Hekimler kal�a ve diz a�r�s�n�n ay�r�c� tan�s�nda obturator f�t�� dahil etmelidirler ve l�z�m halinde Howship Romberg bulgusunu sorgulamal�d�rlar. Erken tan� konulmas� hem mortalite ve morbiditeyi azaltmaktad�r hem de daha az invaziv y�ntemlerle tedavi olana�� sunmaktad�r.

Anahtar Kelimeler: Akut bat�n, diz a�r�s�, f�t�klar, kal�a a�r�s�; obturator f�t�k.

Obturator hernia should be considered in the differential diagnosis of hip and knee pain

Ahmet Korkut Belli¹, G�nd�z Memi�¹, �zcan Dere¹, Ula� Ko�an², Okay Nazl�¹
¹Department Of General Surgery, Mugla Sitki Kocman Medical School, Mugla, Turkey
²Department Of Radiology, Mugla Sitki Kocman Medical School, Mugla, Turkey

Obturator hernia is a rare disease usually occurring in debilitated elderly women. Pain radiating down the medial thigh and knee (Howship-Romberg sign) is a specific sign of the disease. Presently described is a case of obturator hernia in a 73-year-old female patient who presented with severe left hip pain radiating down the medial thigh and knee, nausea, and loss of appetite. Initially, vertebral disc herniation was thought to be cause, but abdomino-pelvic computed tomography scan revealed left strangulated obturator hernia. Diagnosis of obturator hernia can be challenging. Physicians should consider obturator hernia in the differential diagnosis of knee and hip pain, and investigate for Howship-Romberg sign. Early diagnosis of the disease not only decreases morbidity and mortality, but also presents opportunity to treat with minimally invasive methods.

Keywords: Acute abdomen, hernia, hip pain, knee pain; obturator hernia.

Sorumlu Yazar: Ahmet Korkut Belli, T�rkiye
Makale Dili: �ngilizce

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