Incarcerated obturator hernia-laparoscopic repair with intraoperative view of the corona mortis.
Ramser MDepartment of General Surgery, University Hospital Basel, Basel, Switzerland michaela.ramser@usb.ch.
Messmer ASDepartment of Emergency Medicine, University Hospital Basel, Basel, Switzerland.
Zbinden IDepartment of Radiology, University Hospital Basel, Basel, Switzerland.
Von Holzen UDepartment of General Surgery, University Hospital Basel, Basel, Switzerland.
Nebiker CADepartment of General Surgery, University Hospital Basel, Basel, Switzerland.
2014-08-27
Published in:
Journal of surgical case reports. - 2014
English
Obturator hernias are a rare form of abdominal wall hernias. We present a case of a patient with an obturator hernia diagnosed by the classical signs of lower abdominal pain, a positive Howship-Romberg sign (painful internal rotation of the hip) and a computed tomography scan showing a herniated loop of small bowel. During the emergency laparoscopic hernia repair (transabdominal preperitoneal approach) a variant vessel, the corona mortis, was detected.