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Radiographic and surgical findings of type I obturator hernias in patients with refractory groin pain

      Abstract

      Groin pain is a common complaint in the general population, with an underlying etiology that may be difficult to diagnose. Although uncommon, type I obturator hernias may be a significant source of chronic or refractory groin pain. In this review, we discuss the commonly missed findings of type I obturator hernias at CT and MRI, as well as correlate these findings with images obtained at the time of laparoscopic repair.

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      References

        • Fitzgibbons R.J.
        • Forse R.A.
        Groin hernias in adults.
        N Engl J Med. 2015; 372: 756-763https://doi.org/10.1056/NEJMcp1404068
        • Dabbas N.
        • Adams K.
        • Pearson K.
        • Royle G.
        Frequency of abdominal wall hernias: is classical teaching out of date?.
        JRSM Short Rep. 2011; 2: 5https://doi.org/10.1258/shorts.2010.010071
        • Perry C.P.
        • Echeverri J.D.V.
        Hernias as a cause of chronic pelvic pain in women.
        JSLS. 2006; 10 ([PMID: 16882422]): 212-215
        • Sun H.P.
        • Chao Y.P.
        Preoperative diagnosis and successful laparoscopic treatment of incarcerated obturator hernia.
        Hernia. 2010; 14: 203-206https://doi.org/10.1007/s10029-009-0523-0
        • Vitone L.
        • Joel A.
        • Masters A.
        • Lea S.
        Obturator hernia – MRI image.
        Indian J Surg. 2013; 75: 322https://doi.org/10.1007/s12262-012-0735-x
        • Amerson J.R.
        Inguinal canal and hernia examination.
        in: Walker H.K. Hall W.D. Hurst J.W. Clinical methods: the history, physical, and laboratory examinations. 3rd ed. Butterworths, Boston, MA1990 ([Chapter 96])
        • Karasaki T.
        • Nakagawa T.
        • Tanaka N.
        Obturator hernia: the relationship between anatomical classification and the Howship-Romberg sign.
        Hernia. 2013; 18: 413-416https://doi.org/10.1007/s10029-013-1068-9
        • Green B.T.
        Strangulated obturator hernia: still deadly.
        South Med J. 2001; 94: 81-83
        11213952
        • Marchal F.
        • Parent S.
        • Tortuyaux J.M.
        • Bresler L.
        • Boissel P.
        • Regent D.
        Obturator hernias–report of seven cases.
        Hernia. 1997; 1: 23-26https://doi.org/10.1007/BF02426383
        • Skandalakis L.J.
        • Androulakis J.
        • Colborn G.L.
        • Skandalakis J.E.
        Obturator hernia: embryology, anatomy, and surgical applications.
        Surg Anat Embryol. 2000; 80: 71-84https://doi.org/10.1016/S0039-6109(05)70398-4
        • Perry C.P.
        • Hantes J.M.
        Diagnosis and laparoscopic repair of type I obturator hernia in women with chronic neuralgic pain.
        JSLS. 2005; 9 ([15984699]): 138-141
        • Hannington-Kiff J.G.
        Absent thigh adductor reflex in obturator hernia.
        Lancet. 1980; 1: 180https://doi.org/10.1016/S0140-6736(80)90664-9
        • Aguirre D.A.
        • Santosa A.C.
        • Casola G.
        • Sirlin C.B.
        Abdominal Wall Hernias: imaging features, complications, and diagnostic pitfalls at multi-detector row CT.
        Radiographics. 2005; 25: 1501-1520https://doi.org/10.1148/rg.256055018
        • Kammori M.
        • Mafune K.
        • Hirashima T.
        • Kawahara M.
        • Hashimoto M.
        • Ogawa T.
        • et al.
        Forty-three cases of obturator hernia.
        Am J Surg. 2004; 187: 549-552https://doi.org/10.1016/j.amjsurg.2003.12.041
        • Igari K.
        • Ochiai T.
        • Aihara A.
        • et al.
        Clinical presentation of obturator hernia and review of the literature.
        Hernia. 2010; 14: 409-413https://doi.org/10.1007/s10029-010-0658-z
        • Tokushima M.
        • Aihara H.
        • Tago M.
        • et al.
        Obturator hernia: a diagnostic challenge.
        Am J Case Rep. 2014; 15: 280-283https://doi.org/10.12659/AJCR.890555
        • Brandon C.J.
        • Jacobson J.A.
        • Fessell D.
        • et al.
        Groin pain beyond the hip: how anatomy predisposes to injury as visualized by musculoskeletal ultrasound and MRI.
        AJR. 2011; 197: 1190-1197https://doi.org/10.2214/AJR.10.4890
        • Gray S.W.
        • Skandalakis J.E.
        • Soria R.E.
        • Rowe Jr., J.S.
        • et al.
        Strangulated obturator hernia.
        Surgery. 1974; 75 ([PMID: 4808720]): 20-27