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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.
FigComputed tomography demonstrating a right obturator hernia with small bowel obstruction
secondary to incarcerated ileum (arrow).
