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.