Obturator Hernia

Summary 

The obturator hernia is a rare form of internal hernia that often presents with a confusing clinical picture. The diagnosis is usually made at laparotomy for small bowel obstruction. It often occurs in elderly, emaciated women. We present a case of obturator hernia in an 89-year-old female. This problem is usually resolved only by surgery. A delay in diagnosis of internal hernia may result in a high probability of morbidity and mortality. Plain abdominal radiography and computed tomography are the most appropriate early diagnostic tools for an obturator hernia. Prompt diagnosis and surgery could have a good clinical result and reduce the mortality rate. Emergency physicians should be alert to the possibility of an obturator hernia.

Key Words:  computed tomography , intestinal obstruction , obturator hernia

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