[Strangulated XXXX : a report of 17 cases].

@entity1 @entity3885 @entity260 @entity5043 @entity10193 @entity1744
PURPOSE OF THE STUDY: To assess clinical, therapeutic and diagnostic findings of strangulated @entity10193 . @entity1 AND METHOD: Retrospective study of 17 @entity1 (16 @entity1 , 1 @entity1 ; average age: 81.7 years), all treated in the same service, for strangulated @entity10193 . The studied criteria were: clinical characteristics (general status, obstruction, sign of @entity5043 ), morphologic exams, mean delay for surgical treatment, and occurrence of @entity260 . RESULTS: The clinical examination revealed @entity1744 in 94% of the @entity1 (n = 16) and @entity3885 @entity1 ; 23.5% of the @entity1 presented a sign of @entity5043 . A major slimming was observed in 82% of the cases. A computed tomography, performed in 3 @entity1 , showed the presence of air in the under-pubic channel. Preoperative @entity10193 was suspected in 23.5% of the cases. Surgical treatment was performed after a mean delay of 5.3 d. The mortality and morbidity rates were respectively 35 and 18%. CONCLUSION: Due to the low specificity of clinical examination, preoperative @entity10193 remains difficult. Computed tomography can be of great help for the diagnosis. Any therapeutic delay increasing mortality rate, surgery is mandatory in case of @entity1744 in order to make the diagnosis and the treatment of such rare pathology.
