Ileum perforation due to delayed operation in obturator hernia: A case report and review of literatures

Figure 1 Ultrasonographic image of the left groin demonstrating a fluid-filled loop of bowel with the neck of the hernia uncertainly identified (arrow).

Figure 2 Plain abdominal film revealing multiple dilated loops of small bowel in an emaciated woman with scoliosis.

Figure 3 Abdominal axial CT image. A: Severe dilated small bowel and abrupt stenosis at the terminal ileum in the pelvic cavity (arrow); B: A low-density mass with clear border located between the pectineus and the left external obturator muscles (arrow).

Figure 4 Three-dimensioned reconstructed CT (A: Sagittal section; B: Coronal section) finding extensive dilation of the small bowel loops and a loop of small bowel protruding into the left obturator canal with the transition zone from dilated to collapsed bowel (arrows).

Figure 5 Intraoperative photography illustrating. A: Incarcerated small bowel at left obturator foramen (arrow); B: Perforation of ileum proximal to the site of incarceration (arrow); C: A defect in the left obturator canal (arrow).