Treatment-
She had an emergency laparotomy, which revealed wide open left obturator
foramen ( Figure 3) with herniation of partial circumference of small
bowel, Richter’s type with dilated proximal bowel loop and collapsed
distal bowel loop. The herniated bowel loop had dusky appearance
signifying ischemic changes (Figure 4). Reduction and repair of the left
obturator hernia was done.
Figure.3. Intraoperative image showing wide open left obturator foramen.
Figure.4. Dusky appearance of herniated bowel loop signifying ischemic
changes.