Femoral abscess formation after surgical repair of bilateral obturator hernia—a case report—

Abstract

A 79-year-old woman visited our hospital with the complains of lower abdominal pain and bilateral femoral pain. Computed tomography (CT) scan revealed incarcerated bilateral obturator hernia for which was performed an emergency operation. Laparotomy revealed rupture of the small intestine and its incarceration into left obturator foramen. The incarcerated intestine was resected, and the hernial hilum was closed by direct suturing after thorough washing. Nine days after the operation, she complained of left femoral pain. CT scan showed an abscess in the left obturator foramen. Ultrasonography-guided percutaneus drainage of the abscess was performed. Although postoperative complication of the patients was subsided eventually, we should select the best procedure for the hernia hilum among various and controversial procedures to prevent postoperative abscess formation.