Obstructed obturator hernia containing Meckel’s diverticulum: a case report

Abstract

An obturator hernia is a rare type of hernia and unusual cause of acute intestinal obstruction. The combination of diagnostic difficulty and high mortality rates make obturator hernia a serious diagnosis that can be potentially overlooked. We present a case of an elderly multiparous woman presented at the emergency room with complaints of abdominal distension, pain, vomiting and constipation for the last 4 days. On examination abdominal tenderness with distension was noted. Hernial orifices were normal. A CT and MRI reports were suggestive of right obstructed obturator hernia. Patient underwent emergency exploratory laparotomy. The hernial sac contained a narrow neck Meckel's diverticulum with perforation of proximal ileum. Resection of perforated segment along with Meckel's diverticulum was done and end to end ileo-ileal anastomosis was performed. Obturator foramen was closed with simple polypropylene sutures. CT/MRI scan is of immense help in preoperative diagnosis. Once the diagnosis is suspected or confirmed, patient should be taken for surgery as early as possible.

Obturator Hernia with Meckel’s Diverticulum Mimicking Incarcerated Small Bowel Hernia: A Case Report

“…CT and magnetic resonance imaging findings of previous surgical literature reporting cases of obturator Littre hernia showed a small intestine loop herniated through the obturator foramen with dilatation of the proximal small bowel (11,12) . In our case, the herniated Meckel's diverticulum was positioned at the right obturator foramen ( Figure 1B) and the transition site of the small bowel was observed as a tubular structure ( Figure 1C).…”