Abstract
BackgroundObturator hernia is rare and accounts for less than 1% of all abdominal wall hernias. It represents a diagnostic challenge due to its nonspecific signs and symptoms.Case presentationWe present a case of an 89-year-old caucasian female with a 12-hour history of right medial thigh pain. Computed tomography scan revealed a right obturator hernia with small bowel obstruction. The hernia was successfully repaired laparoscopically without any need for small bowel resection. She was discharged on postoperative day 2 with an uneventful recovery and zero complications.ConclusionThis case report highlights the importance of rapid diagnosis and repair of obturator hernia even in the setting of an improving clinical picture. It also demonstrates the safety of laparoscopic repair in this setting.
Highlights
Obturator hernia is rare and accounts for less than 1% of all abdominal wall hernias
This case report highlights the importance of rapid diagnosis and repair of obturator hernia even in the setting of an improving clinical picture
It demonstrates the safety of laparoscopic repair in this setting
Summary
Obturator hernias are uncommon and difficult to diagnose. They occur most commonly in elderly women. If not diagnosed and treated in a timely manner, they may result in bowel ischemia, perforation, sepsis, and death. In the case of an elderly patient presenting with medial thigh pain and mild abdominal distention, obturator hernia should be high on the differential list because of the high morbidity and mortality if undiagnosed. Computed tomography of the abdomen and pelvis is critical to the timely diagnosis. We have demonstrated rapid diagnosis and intervention can lead to a favorable outcome
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