Clinical Study

Bilateral Obturator Hernia Diagnosed by Computed Tomography: A Case Report with Review of the Literature

Table 1

Hernia types with typical location and diagnostic imaging findings.

Hernia nameLocationDiagnostic imaging features

Inguinal directHesselbach’s triangleMedial to the inferior epigastric artery (MD)

Inguinal indirectHesselbach’s triangleLateral to the inferior epigastric artery (IL)

PantaloonHesselbach’s triangleContains both direct and indirect inguinal hernias

SpigelianAlong linea semilunarisAt junction of lateral abdominal muscles and rectus sheath

ParaumbilicalDefect in the linea albaAssociated with diastasis of the rectus muscles

FemoralMedial aspect of the femoral canalHernia sac with femoral vein compression

De GarengeotFemoral canalContains the appendix

AmyandInguinal canal Contains the appendix

Littre Any locationContains Meckel’s diverticulum

RichterAny location, though usually along anterior abdominal wallContains only antimesenteric side of a loop of bowel

Obturator Obturator canal through obturator foramenBetween pectineus and obturator externus muscles; often presents with incarceration

Grynfeltt-Lesshaft Upper lumbar triangle Location

Petit Lower lumbar triangleLocation