Özet:

Purpose: This study in our clinic is intended to study the diagnosis, treatment options and patient management in comparison with the literature of patients operated with the cause of obturator herni Method: January 2009-September 2013 by the University of Ege Medical School General Surgery Anabolic Department operated with the cause of acute abdominal and mechanical abdominal congestive and the ethological cause of the preoperative diagnosis was urgently operated or peroperative obturator herni was identified as 4 patients retrospective examined.  Results: 4 patients operated with the cause of Obturator herni were examined retrospectively. In patients radiologically abdominal computer tomography was detected that there were pathologies compatible with mechanical abdominal blocks and air-fluid levels in the direct abdominal graph. 2 of the patients operated due to inkarseration or strangulation associated with obturator hernias (50%) were given partial thin abdominal resection and anastomosis, while 2 patients (50%) were given reduction. Postop follows 1 patient (25%) develops deep venous thrombosis, while 1 patient (25%) has exitus after anastomosis escape development.  The result: Obturator herni is a rare type of herniation. It is often seen in older women. Diagnosis delays can result in mortality as well as in postoperative period, advanced age-related complications (deep vein thrombosis, pneumonia) should always be considered. In the distinctive diagnosis of mechanical abdominal obstruction, the diagnosis and treatment of obturator herni should not be delayed. Keywords: mechanical abdominal obstruction, distinctive diagnosis, obtrutator herni, computer tomography