Rare case of obturator hernia: Surgical anatomy, planning, and considerations. (March 2022)

• Record Type: Journal Article
• Authors: Delgado, Adam; Bhuller, Sidra B; Phan, Peter; Weaver, John
• Is Part Of: SAGE open medical case reports. Volume 10(2022)
• Publication Date: 2022-03
• Subjects: Obturator's hernia -- obturator canal -- small bowel obstruction -- laparotomy -- minimally invasive surgery -- mesh; Clinical medicine -- Case studies -- Periodicals; 616.09
• DOI: 10.1177/2050313X221081371
• Languages: English
• ISSNs: 2050-313X

Abstract

Obturator hernia is a rare variation of abdominal hernias that cause significant morbidity and mortality, especially in the elderly population. Incidence rates vary but account for approximately 0.07%–1.0% of all hernias. Literature on laparoscopic versus laparotomy, as well as types of closure (primary vs mesh) have not been well described in the literature. Obturator hernias, although rare, require a high index of suspicion and care in surgical management as many of these patients will be elderly with a multitude of comorbid conditions. Further research and reporting on technique and type of closures utilized when these rare hernias are encountered by surgeons would benefit the surgical community on practices and management of obturator hernias. Here, we present a case of an elderly female who presented with complaints of obstructive symptoms and abdominal pain secondary to an obturator hernia.