Images in Surgery| Volume 157, ISSUE 1, P168, January 2015

Small bowel obstruction secondary to right obturator hernia

      An 84-year-old woman with a body mass index of 14 presented emergently with vomiting and obstination. She had no previous history of operations. Findings of the examination revealed abdomen distension but no hernia. Plain abdominal radiographs showed dilated small bowel loops. Computed tomography demonstrated small bowel obstruction secondary to an incarcerated right obturator hernia (Fig). At laparotomy, a right obturator hernia was identified, an incarcerated mid ileal loop was reduced, and sutured repair of the defect performed.
      Figure thumbnail gr1
      FigComputed tomography demonstrating a right obturator hernia with small bowel obstruction secondary to incarcerated ileum (arrow).
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Stamatiou D.
        • Skandalakis L.J.
        • Zoras O.
        • Mirilas P.
        Obturator hernia revisited: surgical anatomy, embryology, diagnosis, and technique of repair.
        Am Surg. 2011; 77: 1147-1157
        • Petrie A.
        • Tubbs R.S.
        • Matusz P.
        • Shaffer K.
        • Loukas M.
        Obturator hernia: anatomy, embryology, diagnosis, and treatment.
        Clin Anat. 2011; 24: 562-569
        • Igari K.
        • Ochiai T.
        • Aihara A.
        • Kumagai Y.
        • Iida M.
        • Yamazaki S.
        Clinical presentation of obturator hernia and review of the literature.
        Hernia. 2010; 14: 409-413
        • Mandarry M.T.
        • Zeng S.B.
        • Wei Z.Q.
        • Zhang C.
        • Wang Z.W.
        Obturator hernia—a condition seldom thought of and hence seldom sought.
        Int J Colorectal Dis. 2012; 27: 133-141