The role of computed tomography in the diagnosis of rare pelvic hernias on the example of strangulated hernia of the obturator canal: review

A. A. Egorov; Егоров Андрей Андреевич; N. S. Donchenko; Донченко Наталья Сергеевна; B. K. Laypanov; Лайпанов Борис Камалович; E. G. Koshelev; Кошелев Эдуард Геннадиевич; G. Yu. Belyaev; Беляев Георгий Юрьевич; Olga O. Kurzantseva; Курзанцева Ольга Олеговна; M. V. Melikhova; Мелихова Марина Владимировна

doi:10.17816/clinpract10391-96

The role of computed tomography in the diagnosis of rare pelvic hernias on the example of strangulated hernia of the obturator canal: review

Authors: Egorov A.A.¹^,2, Donchenko N.S.¹, Laypanov B.K.¹, Koshelev E.G.³^,4, Belyaev G.Y.², Kurzantseva O.O.⁵^,6, Melikhova M.V.¹
Affiliations:
1. City Clinical Hospital No. 4
2. Polyclinic No. 2 of Affairs Management Department of President of the Russian Federation
3. Central State Medical Academy of the Office of the President of the Russian Federation
4. City Clinical Hospital No. 1 in the name of N. I. Pirogov
5. Federal Scientific and Clinical Center of Specialized Types of Medical Care and Medical Technologies of the Federal Medical and Biological Agency of Russia
6. City Clinical Hospital of S.P. Botkin
Issue: Vol 10, No 3 (2019)
Pages: 91-96
Section: Case reports
URL: https://journals.rcsi.science/clinpractice/article/view/16050
DOI: https://doi.org/10.17816/clinpract10391-96
ID: 16050

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Abstract

Obturator hernia is a rare form of pelvic hernia that is more common in older women. The clinical diagnosis of hernia is difficult. This type of hernia cannot be visualized by a general examination, and it is also impossible to reveal it by palpation, that is why it is more often detected at the stage of complications and is accompanied by high mortality. This work presents observation of a strangulated hernia of the obturator canal in a 96-year-old patient diagnosed with computed tomography.

Keywords

computed tomography, obturator canal, strangulated hernia, laparoscopy, clinical case

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About the authors

A. A. Egorov

City Clinical Hospital No. 4; Polyclinic No. 2 of Affairs Management Department of President of the Russian Federation

Email: egorov.scan@gmail.com
ORCID iD: 0000-0002-8609-6319
SPIN-code: 9239-2671

врач-рентгенолог отделения КТ и МРТ

Russian Federation, Moscow

N. S. Donchenko

City Clinical Hospital No. 4

Email: natalydonbass@gmail.com
ORCID iD: 0000-0002-8926-2183
SPIN-code: 3256-5128

врач-рентгенолог отделения КТ и МРТ

Russian Federation, Moscow

B. K. Laypanov

City Clinical Hospital No. 4

Email: blaypanov@mail.ru
SPIN-code: 4165-6190

канд. мед. наук, врач-хирург хирургического отделения

Russian Federation, Moscow

E. G. Koshelev

Central State Medical Academy of the Office of the President of the Russian Federation; City Clinical Hospital No. 1 in the name of N. I. Pirogov

Email: koshelev.69@mail.ru
SPIN-code: 1596-2537

канд. мед. наук, зав. кафедрой рентгенологии и ультразвуковой диагностики; зав. отделением КТ и МРТ

Russian Federation, Moscow

G. Yu. Belyaev

Polyclinic No. 2 of Affairs Management Department of President of the Russian Federation

Email: georgybelyaev@yandex.ru
ORCID iD: 0000-0002-1119-9102
SPIN-code: 2169-5450

канд. мед. наук, зав. рентгенологическим отделением

Russian Federation, Moscow

Olga O. Kurzantseva

Federal Scientific and Clinical Center of Specialized Types of Medical Care and Medical Technologies of the Federal Medical and Biological Agency of Russia; City Clinical Hospital of S.P. Botkin

Author for correspondence.
Email: olgakurzan@yandex.ru
ORCID iD: 0000-0003-2648-1677
SPIN-code: 6971-0232

канд. мед. наук, доцент, доцент кафедры лучевой диагностики и маммологии; врач-рентгенолог

Russian Federation, Moscow

M. V. Melikhova

City Clinical Hospital No. 4

Email: mvmelikhova@mail.ru

канд. мед. наук, зав. отделением КТ и МРТ

Russian Federation, Moscow

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2. Fig. 1. Computed tomography of the abdominal cavity and pelvis with oral and intravenous bolus contrast enhancement in the venous phase of contrast