This Article  • Full text  • PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Related article  • Similar articles in this journal  Topic Collections  • Endoscopy/ Minimally Invasive Surgery  • Diagnosis  • Alert me on articles by topic

Arch Surg. 2008;143(6):608.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Answer: Obturator Hernia

Figure 2 (axial computed tomography) reveals a right-sided obturator hernia containing the distal ileum. The herniated bowel loop shows prominent wall enhancement consistent with early vascular compromise. A diagnosis of strangulating obturator hernia causing small-bowel obstruction was made, and the patient underwent laparotomy.

Figure appears in full text version. Figure 2. Axial computed tomography on a lower slice reveals a right-sided obturator hernia containing the distal ileum. The herniated bowel loop shows prominent wall enhancement consistent with early vascular compromise.

The small bowel within the hernia was reduced with gentle traction. An ischemic-looking 2-cm knuckle of bowel was found and resected with 3-cm margins. After lavage of the peritoneal cavity, the mesenteric defect was closed with Vicryl sutures. A composite mesh (Parietex; Covidien, Mansfield, Massachusetts) was then sutured to the pubic symphysis in the midline and to the Cooper ligament laterally. The lateral free edge of the mesh was sutured inferiorly to the round ligament. The . . . [Full Text of this Article]

AUTHOR INFORMATION

RELATED ARTICLE

Image of the Month—Quiz Case
Kshitij Mankad and Edward Hoey
Arch Surg. 2008;143(6):607.
EXTRACT | FULL TEXT