Obturator Hernia in an Elderly Woman Presenting with Aspiration Pneumonia and Respiratory Failure

• Main Authors: Jia-Ming Wang, Po-Chou Lin, Wei-Chan Lin, Jiun-I Lai, Yi-Chun Lai, Shih-Chieh Chang
• Format: Article
• Language: English
• Published: Taiwan Society of Geriatric Emergency and Critical Medicine (TSGECM) 2011-09-01
• Series: International Journal of Gerontology
• Subjects: aspiration pneumonia; intestinal obstruction; obturator hernia; respiratory failure
• Online Access: http://www.sciencedirect.com/science/article/pii/S187395981100069X
• ISSN: 1873-9598

Obturator hernia is a rare but important cause of intestinal obstruction. The mortality rate is high if the diagnosis is not made early and surgical intervention is delayed. We report an 88-year-old female patient who presented with aspiration pneumonia and respiratory failure. She did not have nausea/vomiting and physical examination was unremarkable. She was fed through a nasogastric tube, but no gastric emptying was noted. An abdominal/pelvic computed tomograpy (CT) scan performed 5 days after the presentation revealed a left incarcerated obturator hernia. Emergency laparotomy was performed and the patient eventually recovered. This case reminds us that aspiration pneumonia may be the presenting feature of obturator hernia and a clue to its early diagnosis.