We describe a case of an 82-year-old lady with groin pain secondary to an obturator hernia. She was a diagnostic challenge, and 6 years passed before the obturator hernia was discovered. She presented to hospital with symptoms of bowel obstruction, and a computer tomography (CT) scan of her pelvis revealed an incarcerated obturator hernia. Her surgical management included reinforcement of the obturator foramen with sutures. A recurrence of the obturator hernia 2 years later required an extra-peritoneal mesh repair of the defect in the obturator foramen with a good outcome.

Laparoscopic ligation of the thoracic duct was successfully used in the treatment of traumatic chylothorax where video-assisted thoracoscopy and conservative methods had failed. This minimally invasive approach contributed to the early discharge of our patient.

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