关键词: 闭孔疝, 肠梗阻, 疝修补术, CT影像

Abstract: Objective   To retrospectively analyze the Clinical imaging findings,diagnosis and treatment process and prognosis of 11 cases of strangulated obturator hernia admitted to our hospital.  Methods   The medical records of 11 patients with strangulated obturator hernia admitted to Mindong Hospital affiliated to Fujian Medical University from January 2012 to December 2020 were retrospectively analyzed.One case gave up surgery and 10 cases received emergency surgery.  Results   All 11 patients were elderly women,all of whom presented with symptoms such as abdominal pain,abdominal distention and vomiting,all of whom presented with obturator hernia accompanied by strangulation ileus.One patient died due to the abandonment of surgical treatment.The other 10 patients were treated by emergency surgery and recovered well after operation.All patients discharged from  hospital after cure were followed up,and no recurrence of obturator hernia was found.  Conclusion   Obturator hernia should be considered in elderly female patients with small bowel obstruction of unknown cause.Emergency abdominal CT examination is conducive to early diagnosis and early operation of strangulated bowel and hernia repair,and all patients have a good prognosis.

Key words: obturator hernia, intestinal obstruction, hernia repair, computed CT Image