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Radiology Research and Practice
Volume 2014, Article ID 625873, 4 pages
http://dx.doi.org/10.1155/2014/625873
Clinical Study

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

Department of Radio-Diagnosis, Dr. D.Y. Patil Medical College, Pimpri, Pune 411018, India

Received 20 September 2014; Accepted 20 November 2014; Published 3 December 2014

Academic Editor: Paul Sijens

Copyright © 2014 Sanjay M. Khaladkar et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Obturator hernia is a rare form of abdominal hernia and a diagnostic challenge. It is commonly seen in elderly thin females. Its diagnosis is often delayed with resultant increased morbidity and mortality due to bowel ischemia/gangrene. It is mistakenly diagnosed as femoral or inguinal hernia on USG. Computed tomography is diagnostic and is a valuable tool for preoperative diagnosis. This report presents a case of 70-year-old thin female presenting with intestinal obstruction due to left sided obstructed obturator hernia. USG showed small bowel obstruction and an obstructed left sided femoral hernia. CT scan of abdomen and pelvis with inguinal and upper thigh region disclosed left sided obturator hernia. It also detected clinically occult right sided obturator hernia. Early diagnosis and surgical treatment contribute greatly in reducing the morbidity and mortality rate.