Abstract
An 87-year woman with pain in left coxa and left leg had a medical examination to another hospital. She was diagnosed by abdominal CT scan as the left obturator hernia, and presented to our hospital.
The abdominal CT scan suggested the left obturator hernia, but the small bowel obstruction was not presented. We diagnosed her illness as the left obturator hernia with the Howship-Romberg sign, and without the small bowel obstruction. So, we performed an elective laparoscopic surgery on the patient. It was possible to observe the intraperitoneal space, and repaired the hernia orifice with the mesh sheet in a good view. The post operative course was uneventful.
The obturator hernia without the small bowel obstruction is very rare. I give a presentation such a case be a standard treatment procedure for operating of the laparoscopic surgery.