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Leg Pain—An Unexpected Twist.

Authors :
Gupta, Rahul
Gaines, Cameron
Ginty, Catherine
Source :
Journal of Emergency Medicine (0736-4679). Nov2024, Vol. 67 Issue 5, pe442-e445. 4p.
Publication Year :
2024

Abstract

Obturator hernia is a rare condition, often presenting with non-specific symptoms, such as thigh pain, groin pain, nausea, or vomiting. Obturator hernias are most common in thin, elderly women. Oftentimes, they are diagnosed late in the disease course resulting in complications and high morbidity and mortality. We present the case of a 75-year-old female who presented with right thigh pain with no other symptoms. After computed tomography (CT) of the abdomen/pelvis, the patient was found to have an incarcerated obturator hernia complicated by a small bowel obstruction, ultimately requiring urgent surgical intervention. Given the very general symptoms associated with the condition, the diagnosis of obturator hernia can easily be missed, leading to a delayed diagnosis, more complications, and a higher morbidity and mortality rate. Due to the risk associated with a delayed diagnosis, it is important for emergency physicians to maintain a high clinical suspicion for the diagnosis. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
07364679
Volume :
67
Issue :
5
Database :
Academic Search Index
Journal :
Journal of Emergency Medicine (0736-4679)
Publication Type :
Academic Journal
Accession number :
179792507
Full Text :
https://doi.org/10.1016/j.jemermed.2024.07.017