The only treatment for an obturator hernia is surgery, which includes laparotomy and laparoscopic surgery.
In conclusion, a high suspicion for an obturator hernia should be raised when assessing an elderly and frail woman presenting with intermittent symptoms of intestinal obstruction and medial thigh pain.
It is nicknamed "little old lady's hernia" as it affects this group due to atrophy and loss of preperitoneal fat around obturator vessels in obturator canal predisposing to obturator hernia. Multiparity, COPD, constipation, ascites, and causes of raised intra-abdominal pressure are its other predisposing factors .
Arnaud de Ronsil was the first to describe the obturator hernia in 1724 and Obre was the first to perform the successful operation in 1851 .
Obturator neuropathy due to obturator hernia. Muscle Nerve.
(2) Other diagnostic possibilities include obturator hernias which have been associated with obturator nerve entrapment.
Computed tomography in the investigation and management of obturator hernia. Scott Med J 2016;61:103-5.
Obturator Hernia: diagnosis and treatment in the modern era.
A 65-year-old male with small bowel obstruction related to Richter's obturator hernia
found incidentally on exploratory laparotomy was treated effectively.
CONCLUSION: Obturator hernia
remains an important diagnosis to consider in elderly patients with intestinal obstruction.
But considering the progressive nature of obstruction, CECT of abdomen was done which was suggestive of obstructed right-sided obturator hernia
(Fig 1) She was immediately explored through midline laparotomy, which revealed a Richter's type Hernia of ileum into a projection of peritoneum through right obturator canal (Fig 2) & (Fig 3) Small bowel wasn't ischemic hence, fortunately no resection was required.
Femoral hernias and obturator hernias
are more commonly associated with complications such as bowel obstruction and strangulation, due to their anatomic location.