Ulus Travma Acil Cerrahi Derg. 2011; 17(3): 277-279 | DOI: 10.5505/tjtes.2011.62347

Ultrasonografi tarafýndan atlanan ve klinik olarak obturator herniyi taklit eden siyatik herni: Olgu sunumu

Shiraz Ahmad Rather, Tanveer Iqbal Dar, Aijaz Ahmad Malik, Fazal Q Parray, Mukhtar Ahmad, Syed Asrar
Sher-i Kashmir Týp Bilimleri Enstitüsü, Genel Cerrahi Kliniði, Srinagar, Hindistan.

Siyatik herni, büyük veya küçük siyatik foramen içinden geçerek oluþan nadir bir pelvis tabaný hernisidir. Siyatik herniler, özellikle kadýnlarda sýklýkla pelvik aðrý þeklinde belirti verir ve tanýsý güç olabilir. Siyatik herni, ince baðýrsak týkanýklýðýnýn belirti ve semptomlarý olan ilgili taraftaki gluteal bölgede þiþlik veya pelvik aðrý þeklinde belirti verebilen en nadir internal herni formlarýndan birisidir. Laparoskopik onarýmý da içeren transabdominal ve transgluteal operatif yaklaþýmlar rapor edilmiþtir. Biz, içeriði þeklinde de hapsolmuþ ince baðýrsakla birlikte olan bir sol taraflý siyatik herni olgusunu sunuyoruz. Herni, ultrasonografi ve düz abdominal grafi tarafýndan atlanmýþ ve obturator herniyi düþündürmüþtür.

Anahtar Kelimeler: Siyatik herni, obturator herni; baðýrsak týkanýklýðý.

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Sciatic hernia clinically mimicking obturator hernia, missed by ultrasonography: case report

Shiraz Ahmad Rather, Tanveer Iqbal Dar, Aijaz Ahmad Malik, Fazal Q Parray, Mukhtar Ahmad, Syed Asrar
Department Of General Surgery, Sher-i-kashmir Institute Of Medical Sciences, Srinagar, J&k, India

Sciatic hernia is a rare pelvic floor hernia that occurs through the greater or lesser sciatic foramen. Sciatic hernias often present as pelvic pain, particularly in women, and diagnosis can be difficult. Sciatic hernia is one of the rarest forms of internal hernia, which can present as signs and symptoms of small bowel obstruction, swelling in the respective gluteal region or pelvic pain. Transabdominal and transgluteal operative approaches, including laparoscopic repair, have been reported. We present a case of left-sided sciatic hernia with incarcerated small bowel as its contents. The hernia was missed by ultrasonography and plain abdominal radiography, but the clinical features were suggestive of an obturator hernia.

Keywords: Sciatic hernia, obturator hernia; intestinal obstruction.

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