Obturator Hernia in a 71-Year-Old Patient: A Diagnostic Challenge.

An obturator hernia is a relatively rare form of pelvic hernia, wherein abdominal organs protrude through an opening in the pelvis known as the obturator foramen. The majority of patients with this condition present to the emergency room with symptoms of bowel obstruction. Due to the non-specific nature of these symptoms, making a preoperative diagnosis of obturator hernia can be challenging. Any delay in the diagnosis and treatment of this condition can lead to a significant risk of mortality. In this report, we present the case of a 71-year-old patient who presented to the emergency department complaining of lower abdominal pain and nausea. An abdominal X-ray revealed bowel dilation, and based on the patient's symptoms, a diagnosis of bowel obstruction was suspected. A CT scan of the abdomen and pelvis was performed to investigate the reason for bowel dilation, and the existence of an obturator hernia was confirmed.

Right-Sided Diverticulitis: A Rare Cause of Right-Sided Abdominal Pain.

Acute diverticulitis is a particularly common medical entity, and its frequency increases with age. The most commonly affected part of the large intestine is the sigmoid colon, while right-sided diverticulitis is very rare. Here, we report the case of a 59-year-old man who presented to the emergency department due to acute right lower quadrant abdominal pain. The patient was diagnosed with a computed tomography scan of the abdomen with intravenous contrast with right-sided diverticulitis. The patient's treatment included hydration and intravenous antibiotics (ciprofloxacin and metronidazole). After three days of hospitalization, the patient was discharged from the hospital in stable condition and without signs of inflammation. This case report demonstrates the importance of including right-sided diverticulitis in the differential diagnosis of acute right lower quadrant abdominal pain, as in most cases patients are treated conservatively without the need for surgical intervention.

Femoral Hernia Containing a Strangulated Appendix: A Hybrid Approach.

We present an intriguing case of an incarcerated femoral hernia containing an inflamed appendix inside the sac, also known as a De Garengeot hernia. This type of hernia is a rare occurrence that was first described in 1731 by the French surgeon René-Jacque Croissant de Garengeot. A 64-year-old woman presented to the emergency department with a painful mass in the right groin region. Following a computed tomography (CT) scan of the abdomen and pelvis to evaluate the mass, the diagnosis of a femoral hernia containing a strangulated appendix was established. Subsequently, a hybrid surgical approach was utilized, consisting of an open hernia repair and a laparoscopic appendectomy.