title: [Case report: Occlusion and intestinal necrosis by obturator hernia].
abstract: BACKGROUND
  Obturator hernia is a rare variety of abdominal hernia, it accounts for 0.07%-1.0% of all hernias, and occurs most often in women of advanced age and multiparous.
  
  
  METHODS
  A 78-year-old female was admitted to the Emergency Department due to nausea, vomiting, complaints of abdominal discomfort and obstipation for the last 7 days. Abdominal CT scan showed dilated small bowel loops and multiple air-fluid levels near to a small bowel loop obturator hernia, between external obturator and pectineus muscle. Emergency laparotomy was performed and during the surgery, loop of small intestine was revealed herniated into the obturator foramen, 130cm from the angle of Treitz. Necrosis of small intestine was found, without perforation. Resection of the 10cm affected jejunal segment was performed and a side-to-side bowel anastomosis was fashioned. Also simple suture closure of obturator foramen was performed.
  
  
  CONCLUSIONS
  Obturator hernia is relatively rare. However physicians should keep it in mind and have clinical suspicion for obturator hernia as a cause of intestinal obstruction in female, elderly and multiparous patients in order to make an appropriate diagnosis and avoid bowel ischaemia.
authors.affiliation: Servicio de Cirugía General, Hospital Universitario «Dr. José Eleuterio González», Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, México.
authors.forename: Jorge Tadeo
authors.initials: JT
authors.lastname: Palacios-Zertuche
authors.affiliation: Servicio de Cirugía General, Hospital Universitario «Dr. José Eleuterio González», Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, México.
authors.forename: Armando de Jesús
authors.initials: AJ
authors.lastname: Guerrero-Hernández
authors.affiliation: Servicio de Cirugía General, Hospital Universitario «Dr. José Eleuterio González», Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, México.
authors.forename: Rogelio
authors.initials: R
authors.lastname: Salinas-Domínguez
authors.affiliation: Servicio de Cirugía General, Hospital Universitario «Dr. José Eleuterio González», Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, México. Electronic address: cevam99@gmail.com.
authors.forename: Gerardo Enrique
authors.initials: GE
authors.lastname: Muñoz-Maldonado
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000368:Aged; D000714:Anastomosis, Surgical; D005260:Female; D006553:Hernia, Obturator / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D007415:Intestinal Obstruction / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D007421:Intestine, Small / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D007813:Laparotomy; D009336:Necrosis; D014057:Tomography, X-Ray Computed
keywords: Hernia; Obturador; Obturator; Occlusion; Oclusión