PMC10395156_01
In the contrast-enhanced computed tomography, the red circle was hernia content, and the yellow arrow was the obturator artery. (a) A coronal view, and (b) A sagittal view showing a herniated viscera passing through the obturator hole.
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An emergent abdominopelvic CT scan with the contrast material was indicated, showing a protrusion of an ileal loop in the right obturator foramen (Figure 1).
(a) The intraoperative image showed foramen of femoral and obturator hernias. (b) Image of covering mesh placement of two hernia holes. The white arrow revealed a femoral hernia hole and the black arrow showed an obturator hernia hole.
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The right OH and a concurrent right femoral hernia were confirmed without any hernia content during the operation (Figure 2). We decided to perform a transabdominal preperitoneal (TAPP) repair procedure with a 10 x 15 cm polypropylene mesh covering two holes of hernias with a minimum hernia margin of at least 3 cm (Figure 2).