title: Obturator hernia - MRI image.
abstract: Obturator hernia although considered a rare entity is the most frequently encountered pelvic floor hernia. Since the first published report in the 18th century, their unusual and unfamiliar clinical presentation still represents a diagnostic dilemma for the modern day clinician. A detailed history and clinical examination in our thin, elderly female patient who presented with intermittent small bowel obstruction and symptoms of right obturator nerve compression with a positive Howship-Romberg sign was crucial in establishing a diagnosis. Sophisticated radiologic modalities such as MRI as shown below in the case of our patient can reliably confirm the diagnosis of obturator hernia.
authors.affiliation: Department of Surgery, Arrowe Park Hospital, Wirral, CH49 5PE UK.
authors.forename: Louis
authors.initials: L
authors.lastname: Vitone
authors.affiliation: Department of Surgery, Arrowe Park Hospital, Wirral, CH49 5PE UK.
authors.forename: Abraham
authors.initials: A
authors.lastname: Joel
authors.affiliation: Department of Surgery, Arrowe Park Hospital, Wirral, CH49 5PE UK.
authors.forename: Andrew
authors.initials: A
authors.lastname: Masters
authors.affiliation: Department of Surgery, Arrowe Park Hospital, Wirral, CH49 5PE UK.
authors.forename: Simon
authors.initials: S
authors.lastname: Lea
keywords: Abraham; Andrew; Hernia; Joel; Lea; Louis; MRI; Masters; Obturator; Simon; Vitone