Laparoscopic Surgery for Obturator Hernia with Necrotic Bowel Incarceration: Report of a Case

Abstract

Obturator hernia is very rare. It remains a diagnostic and therapeutic challenge for clinicians. Most cases are diagnosed intraoperatively while treating small bowel obstruction of unknown cause. We present a patient with an incarcerated obturator hernia manifesting as a persistent small bowel obstruction that was finally diagnosed by computed tomography. Laparoscopic examination revealed an obturator hernia with necrotic and perforated bowel incarceration. We performed laparoscopy-assisted segmental bowel resection of the necrotic incarceration, then intracorporeal suture repair of the hernia defect successfully.