J Korean Soc Radiol.  2010 Nov;63(5):459-462. 10.3348/jksr.2010.63.5.459.

Contralateral Obturator Hernia Immediately after a Right Obturator Herniorrhaphy: A Case Report

• Oh SJ
• Choi GC
• Kim HS

• KMID: 2097918
• DOI: http://doi.org/10.3348/jksr.2010.63.5.459

Abstract

An obturator hernia is a very rare condition that occurs in elderly debilitated women and its nonspecific symptoms delay the diagnosis. Computed tomography is a useful tool for the early diagnosis of an obturator hernia. Previous studies report that bilateral obturator hernias comprise approximately 6% of all obturator hernias is 6%. To the best of our knowledge, there is no reported case of a contralateral obturator hernia immediately after a herniorrhaphy. We report a case of contralateral obturator hernia thst occurred immediately after a right obturator herniorrhaphy.

MeSH Terms

Aged
Early Diagnosis
Female
Hernia, Obturator
Herniorrhaphy
Humans
Intestinal Obstruction
Tomography, X-Ray Computed

Figure

• 

  Fig. 1 A 73-year-old woman with contralateral obturator hernia immediately after a right obturator herniorrhaphy. A, B. Axial (A) and coronal (B) images of initial computed tomography (CT) show a segment of small bowel herniated through the obturator foramen between the right pectineus and obturator externus muscles (arrows). C-E. Axial (C), coronal (D), and sagittal (E) images of follow-up CT obtained 2 days after a right obturator herniorrhaphy show the left obturator hernia (arrows) and postoperative air collection in the right obturator foramen. F. Operative finding of the left obturator hernia. Laparoscopic operative image shows a sac (arrowheads) herniated through a defect in the left obturator canal (arrows).

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