Abstract
Laparoscopic repair was succefully performed for obturator hernia which is a relatively rare entity. A 68-year-old woman was admitted to the hospital because of nausea and vomiting. Her height was 146 cm and the weight was 33 kg. She had right lower abdominal tenderness but no muscule guarding. Howship-Romberg's sign was not present. There were no inflamma-tory signs in the laboratory data. Abdominal plain X-ray film showed the dilated ileum with air-fluid level. Pelvic computed tomograms showed a tumor, 2.0×1.6 cm in size, between the right pubic muscle and external obturator muscle. Right obturator hernia was diagnosed. We performed a laparoscopic surgery. It was found that the ileum incarcerated into the right obturator foramen. The incarcerated ileum was restored by pullback. There was no need of resection for the ischemic ileum. The hernial hilum was closed with direct sutures. She had no complications such as pneumonia and was discharged from the hospital on the ninth postoperative day.
