PMC5479947_01
CT of the pelvis, sagittal view, with large amount of gas in left hip disarticulation stump.
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Gas was present within the left hip surgical stump with no suspicion for an obturator hernia due to the large amount of gas visualized, which in retrospect was intraluminal intestinal gas not distinguished due to lack of enteric contrast (Fig. 1).
Exposed small bowel herniating through the left obturator foramen in a left hip disarticulation stump.
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Upon opening of the lateral aspect of the incision, the presence of small bowel was noted, leading to an urgent intra-operative consultation to General Surgery (Fig. 2).
Incarcerated small bowel loops retracted and dissected prior to reduction into the pelvis through the left obturator foramen.
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Full exposure of the stump wound revealed two loops of bowel herniating through an orifice 10 cm superior, corresponding to the left obturator foramen (Fig. 3).
Onlay of Strattice biologic mesh repair to cover the left obturator foramen seen through the left hip disarticulation amputation stump.
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The mesh was circumferentially secured, closing the obturator foramen with appropriate overlap (Fig. 4, Fig. 5).