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Arch Surg. 2007;142(6):572.

	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

Exploratory laparotomy was performed. A left-sided obturator hernia was identified containing a segment of midjejunum. The hernia defect was approximately 1.5 cm (Figure 2). The hernia contents and peritoneal sac were reduced, and a necrotic segment of jejunum was resected. An extraperitoneal mesh repair was performed using a Surgisis Gold Hernia Repair Graft (Cook Biotech Incorporated, West Lafayette, Ind).

Figure appears in full text version. Figure 2. Obturator canal with hernia defect.

Obturator hernia accounts for 0.2% to 0.4% of bowel obstructions. The obturator canal is the largest foramen in the pelvis and is located at the anterior superior border of the obturator foramen. Coursing through the canal are the obturator nerve, artery, and vein with preperitoneal fat. The hernia occurs frequently in elderly, debilitated women because of the loss of the protective fat pad.^1-2 The incidence is higher in women than men because of the broader pelvis and larger obturator canal.^3-4 Since the . . . [Full Text of this Article]

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Arch Surg. 2007;142(6):571.
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