{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T17:55:16Z","timestamp":1788630916722,"version":"build-2803163510"},"reference-count":50,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2011,2,14]],"date-time":"2011-02-14T00:00:00Z","timestamp":1297641600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Anatomy"],"published-print":{"date-parts":[[2011,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>An obturator hernia is an infrequent but significant cause of intestinal obstruction. The incidence of obturator hernias is between 0.05 and 1.4% of all hernias. The mortality rate can be as high as 70% when acutely incarcerated due to the difficulty in diagnosis and delay in surgical treatment Three progressive stages of obturator herniation have been classified and can be one of three different varieties depending on the pathway the herniated sac follows. Knowledge of the anatomy and pathogenesis of obturator herniation is essential in diagnosis and treatment. The most common clinical presentation is intestinal obstruction (90%) and this is often seen in elderly, emaciated, multiparous women with predisposing conditions. Other classic signs, though not always present include obturator neuralgia, the Howship\u2010Romberg sign and the Hannington\u2010Kiff sign. Computed tomography scan is the most favored diagnostic imaging method. The abdominal surgical approach is most preferred when a diagnosis is uncertain and laparoscopy should be employed in elective early surgeries. This aim of this article is to review the diagnosis and treatment of obturator hernia by describing the anatomy, embryology, clinical presentation, diagnosis, and management currently in use. Increased awareness and proper management of this condition will result in decreased morbidity and mortality. Clin. Anat. 24:562\u2013569, 2011. \u00a9 2011 Wiley\u2010Liss, Inc.<\/jats:p>","DOI":"10.1002\/ca.21097","type":"journal-article","created":{"date-parts":[[2011,2,14]],"date-time":"2011-02-14T21:37:26Z","timestamp":1297719446000},"page":"562-569","source":"Crossref","is-referenced-by-count":60,"title":["Obturator hernia: Anatomy, embryology, diagnosis, and treatment"],"prefix":"10.1002","volume":"24","author":[{"given":"Alison","family":"Petrie","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Shane Tubbs","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Petru","family":"Matusz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kitt","family":"Shaffer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marios","family":"Loukas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2011,2,14]]},"reference":[{"key":"e_1_2_11_2_1","first-page":"31","article-title":"The anatomy of the hernial regions; obturator hernia and general considerations","volume":"90","author":"Anson BJ","year":"1950","journal-title":"Surg Gynecol Obstet"},{"key":"e_1_2_11_3_1","series-title":"Thigh. Surgical Anatomy","first-page":"1123","author":"Anson B","year":"1971"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0039-6060(96)80159-0"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00191635"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/ca.10025"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-004-7664-1"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.2.3107.68"},{"key":"e_1_2_11_9_1","first-page":"542","volume-title":"Nyhus and Condon's Hernia","author":"Fitzgibbons R","year":"2002"},{"key":"e_1_2_11_10_1","first-page":"20","article-title":"Strangulated obturator hernia","volume":"75","author":"Gray SW","year":"1974","journal-title":"Surgery"},{"key":"e_1_2_11_11_1","first-page":"180","article-title":"Absent thigh adductor reflex in obturator hernia","volume":"1","author":"Hannington\u2010Kiff JG","year":"1980","journal-title":"Lancet"},{"key":"e_1_2_11_12_1","doi-asserted-by":"crossref","first-page":"413","DOI":"10.47102\/annals-acadmedsg.V36N6p413","article-title":"Obturator hernia in an ageing society","volume":"36","author":"Haraguchi M","year":"2007","journal-title":"Ann Acad Med Singapore"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(01)36573-X"},{"key":"e_1_2_11_14_1","first-page":"E77","article-title":"Perforated obturator Littre hernia","volume":"52","author":"Jacob TJ","year":"2009","journal-title":"Can J Surg"},{"key":"e_1_2_11_15_1","series-title":"Hernia. Operative Therapeusis","first-page":"106","author":"Johnson A","year":"1915"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.5962\/bhl.title.26646"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF01194422"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1159\/000008740"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1977.01370080099017"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(94)90123-6"},{"key":"e_1_2_11_21_1","first-page":"33","article-title":"Obturator hernia: A new technique for repair","volume":"43","author":"Lobo DN","year":"1998","journal-title":"J R Coll Surg Edinb"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1072-7515(02)01137-7"},{"key":"e_1_2_11_23_1","first-page":"866","article-title":"Obturator hernia: Diagnosis and treatment in the modern era","volume":"50","author":"Mantoo SK","year":"2009","journal-title":"Singapore Med J"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800610712"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.2.3057.134-a"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1159\/000147807"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.2302\/kjm.51.129"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10029-008-0406-9"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1002\/aja.1000700206"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.1007\/s004640001016"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007611-199006000-00031"},{"key":"e_1_2_11_32_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10029-007-0328-y"},{"key":"e_1_2_11_33_1","first-page":"394","article-title":"Strangulated obturator hernia","volume":"48","author":"Rogers FA","year":"1960","journal-title":"Surgery"},{"key":"e_1_2_11_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0009-739X(03)72133-2"},{"key":"e_1_2_11_35_1","volume-title":"The Vertebrate Body","author":"Romer AS","year":"1970"},{"key":"e_1_2_11_36_1","first-page":"2369","volume-title":"Surgery of the Alimentary Tract","author":"Shackelford R","year":"1955"},{"key":"e_1_2_11_37_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-003-8212-z"},{"key":"e_1_2_11_38_1","first-page":"73","article-title":"Obturator hernia","volume":"29","author":"Singer R","year":"1955","journal-title":"S Afr Med J"},{"key":"e_1_2_11_39_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0039-6109(05)70398-4"},{"key":"e_1_2_11_40_1","first-page":"416","volume-title":"Hernia","author":"Skandalakis JE","year":"1989"},{"key":"e_1_2_11_41_1","first-page":"43","article-title":"Obturator hernia","volume":"103","author":"Soothill EF","year":"1954","journal-title":"Guys Hospital Reports"},{"key":"e_1_2_11_42_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2005.08.046"},{"key":"e_1_2_11_43_1","first-page":"566","article-title":"Strangulated hernia of the obturator canal as a cause of acute abdomen: Report of two cases","volume":"57","author":"Srivastava KA","year":"1972","journal-title":"Int Surg"},{"key":"e_1_2_11_44_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0039-6060(05)80237-5"},{"key":"e_1_2_11_45_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0736-4679(99)00100-6"},{"key":"e_1_2_11_46_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199608000-00012"},{"key":"e_1_2_11_47_1","first-page":"36","article-title":"Laparoscopic herniography: Technical concerns in prevention of complications and early recurrence","volume":"61","author":"Tucker JG","year":"1995","journal-title":"Am Surg"},{"key":"e_1_2_11_48_1","first-page":"457","volume-title":"Hernia: Anatomy, Etiology, Symptoms, Diagnosis, Differential Diagnosis, Prognosis and Treatment","author":"Watson L","year":"1948"},{"key":"e_1_2_11_49_1","first-page":"266","article-title":"Obturator hernia: A continuing diagnostic challenge","volume":"113","author":"Yip AW","year":"1993","journal-title":"Surgery"},{"key":"e_1_2_11_50_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(97)00025-1"},{"key":"e_1_2_11_51_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(99)80256-6"}],"container-title":["Clinical Anatomy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fca.21097","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ca.21097","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,16]],"date-time":"2023-10-16T17:37:05Z","timestamp":1697477825000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ca.21097"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,2,14]]},"references-count":50,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2011,7]]}},"alternative-id":["10.1002\/ca.21097"],"URL":"https:\/\/doi.org\/10.1002\/ca.21097","archive":["Portico"],"relation":{},"ISSN":["0897-3806","1098-2353"],"issn-type":[{"value":"0897-3806","type":"print"},{"value":"1098-2353","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,2,14]]}}}