An Interesting Case of Strangulate Left Obturator Hernia with Intestinal Obstruction and Septic Shock

Rare is the obturator hernia.It happens when the content of the pelvic cavity herniates through the obturator foramen.In the emergency room, it might be difficult to diagnose because the symptoms and signs are vague.It frequently affects old, malnourished, and sickly women.Intestinal obstruction accompanied by nausea, vomiting, and abdominal discomfort is the clinical presentation.Surgery is the gold standard of management.The high morbidity and mortality associated with this condition is due to its relatively late presentation because of its non-specific symptomatology.We report the case of an 82-year-old woman with a strangulated left obturator hernia with intestinal obstruction and septic shock.The hernia was diagnosed by an ultrasound of the abdomen which revealed evidence of free fluid in the peritoneal cavity with dilated fluid filled small bowel loops & left pelvic area showed small bowel loops located deep to the obturator muscles.Emergency laparotomy was performed by lower midline approach.We emphasize on the rule of ultrasound to establish a prompt preoperative diagnosis of a strangulated left obturator hernia, appropriate planning of surgical intervention and thus optimizing the outcome.This study aimed to present a case of strangulated left obturator hernia with intestinal obstruction and septic shock.