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Related Experiment Video

Updated: Feb 10, 2026

Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review
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Obturator hernia - MRI image.

Louis Vitone1, Abraham Joel1, Andrew Masters1

  • 1Department of Surgery, Arrowe Park Hospital, Wirral, CH49 5PE UK.

The Indian Journal of Surgery
|January 16, 2014
PubMed
Summary

Obturator hernias, though rare, are the most common pelvic floor hernias. Early diagnosis relies on detailed patient history, physical examination, and advanced imaging like MRI to confirm the condition.

Keywords:
AbrahamAndrewHerniaJoelLeaLouisMRIMastersObturatorSimonVitone

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Area of Science:

  • Medical Diagnostics
  • Surgical Anatomy

Background:

  • Obturator hernias are rare but the most frequent pelvic floor hernia.
  • Their presentation is often unusual, posing a diagnostic challenge for clinicians.

Purpose of the Study:

  • To highlight the diagnostic challenges of obturator hernias.
  • To emphasize the importance of clinical examination and advanced imaging in diagnosis.

Main Methods:

  • Case report of a thin, elderly female patient.
  • Detailed medical history and physical examination, including the Howship-Romberg sign.
  • Utilized Magnetic Resonance Imaging (MRI) for diagnosis.

Main Results:

  • The patient presented with intermittent small bowel obstruction.
  • Symptoms of right obturator nerve compression were noted.
  • MRI confirmed the diagnosis of obturator hernia.

Conclusions:

  • A thorough clinical evaluation is essential for diagnosing obturator hernias.
  • Advanced imaging, particularly MRI, is reliable for confirming obturator hernias.