PMC9535161_01
PMC9535161_02
CT angiogram showing a right-sided obturator hernia in axial (red circle, left) and coronal (red arrow, right) views.
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F1
PMC9535161_03
(A) Small bowel herniating through the right obturator foramen. (B) Bowel segment that was incarcerated through the obturator foramen, after reduction. (C) Obturator foramen defect post hernia reduction. (D) Peritoneal closure over obturator foramen plugged with mesh.
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F2
This bowel segment had a small ecchymotic area but did not appear ischemic or have serosal tears (figure 2A, B). We occluded the hernia defect with a prolene mesh plug and the overlying peritoneum was closed with a running v-lock suture (figure 2C, D).