PMC5773477_01
CT scan, sagittal section: right obturator hernia.
gr2.jpg
PMC5773477_01_gr2.jpg
fig0010
The scan revealed a small intestine segment strangulated through the obturator right foramen (Fig. 2) with surrounding peritoneal free fluid.
Small intestine embedded in right obturator foramen.
gr3.jpg
PMC5773477_01_gr3.jpg
fig0015
The patient was transferred to the operating room and underwent to a laparoscopic emergency intervention: the exploration of the peritoneal cavity confirmed the radiological diagnosis of bowel obstruction due to a strangulated loop of small intestine entering the right obturator foramen (Fig. 3).
Primary suture of the parietal defect.
gr4.jpg
PMC5773477_01_gr4.jpg
fig0020
A primary suture of the parietal defect was performed using non-absorbable 2/0 ticron (Fig. 4), no ileal resection was performed because of the vital aspect of the intestine.