Rare case of incarcerated obturator hernia: Case report and review of literature

Abstract

HighlightsObturator hernia is a rare condition among abdominal hernias.Clinical diagnosis is challenging and it usually appears as an intestinal obstruction.Early diagnosis and surgical treatment reduce morbidity and mortality.

A Rare Cause of Small Bowel Obstruction: Incarcerated Obturator Hernia

“…Due to the fact that since signs and symptoms are often non-specific, preoperative diagnosis of OH is challenging, however, some findings specific for OH may be observed when PE is performed in detail (1,(4)(5)(6)(7). Some patients may feel pain in the thigh and medial part of the knee due to compression of the anterior branch of the obturator nerve by hernia sac (Howship-Romberg finding).…”

“…Treatment of OH is emergent surgical repair (1). Both open and laparoscopic techniques are used in the management of OH (2,5).…”

“…Both open and laparoscopic techniques are used in the management of OH (2,5). The most commonly used surgical technique is the abdominal approach via a low midline incision (1). Establishing a diagnosis and better exposure of the obturator ring can be listed among the advantages of this method.…”

“…Obturator hernia (OH) is a rare type of pelvic hernia occurring when the pelvic contents protrude through the obturator foramen (1)(2)(3)(4)(5)(6)(7)(8). OH, accounts for 0.07-1.4% of all abdominal hernias.…”

“…It was first described in 1724 by Arnould de Ronsil (5,8). Low body mass index (BMI) and multiparity can be named among predisposing factors (1,9). Symptoms and physical examination findings are not specific.…”