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Int J Surg. 2007 Jun;5(3):139-42. Epub 2006 Oct 10.

Computed tomographic diagnosis of obturator hernia and its surgical management: a case series.

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Hospital Clinico Universitario of Valencia, Department of General and Digestive Surgery, Valencia, Spain.


The obturator hernia is a rare type of hernia which usually presents in thin, elderly women. The preoperative diagnosis is typically difficult, with non-specific signs and symptoms which result in a delay in the diagnosis. It can also be an incidental finding at exploratory laparotomy for a patient with intestinal obstruction. The treatment is surgical. A series of four females with obturator hernia is presented. All patients presented with a history of intestinal obstruction and the hernia was diagnosed preoperatively by computed tomography. All patients underwent a preperitoneal mesh repair with a favourable outcome. The diagnosis and the surgical approach are discussed.

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