Abstract
We present a case of obturator hernia treated by the modified Kugel method via an inguinal approach. A 91-year-old female was referred to our hospital because of vomiting and left femoral pain. Pelvic CT scan revealed a left obturator hernia and an emergency operation was performed. Aiming at less surgical stress, we employed an inguinal approach. After releasing the incarcerated hernia, we closed the hernia opening by the modified Kugel method. This method seems to be a beneficial and reasonable procedure which ensures clourse of not only the obuturator hernia canal but other hernias as well.