{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T22:38:15Z","timestamp":1780353495374,"version":"3.54.1"},"reference-count":9,"publisher":"BMJ","issue":"9","license":[{"start":{"date-parts":[[2020,9,15]],"date-time":"2020-09-15T00:00:00Z","timestamp":1600128000000},"content-version":"unspecified","delay-in-days":14,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2020,8,12]]},"published-print":{"date-parts":[[2020,9]]},"abstract":"<jats:p>Hernia arising from obturator canal is rare and it contributes to about less than 1% of incidence of all hernias. Diagnosing an obturator hernia clinically is a challenging one and nearly impossible. These hernias usually present as an intestinal obstruction as more than 50% of obturator hernias goes in for strangulation. Here, we report an unusual presentation of an obturator hernia in a 70-year-old woman who presented to emergency room with acute abdomen and uncomplicated reducible inguinal hernia. Radiological imaging showed obstructed inguinal hernia while on diagnostic laparoscopy, a strangulated and perforated obturator hernia of Richter\u2019s type was seen in addition to an uncomplicated inguinal hernia. Obturator hernia, although very rare, is associated with high morbidity and mortality as it is often underdiagnosed as in our case. Laparoscopy bailed us out from missing out a perforation from an occult obturator hernia.<\/jats:p>","DOI":"10.1136\/bcr-2020-235644","type":"journal-article","created":{"date-parts":[[2020,9,15]],"date-time":"2020-09-15T17:26:18Z","timestamp":1600190778000},"page":"e235644","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":19,"title":["Diagnostic difficulties in obturator hernia: a rare case presentation and review of literature"],"prefix":"10.1136","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4644-5550","authenticated-orcid":false,"given":"Tharun Ganapathy","family":"Chitrambalam","sequence":"first","affiliation":[{"name":"General Surgery, SRM Institute of Science and Technology, Kattankulathur, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pradeep Joshua","family":"Christopher","sequence":"additional","affiliation":[{"name":"General Surgery, SRM Institute of Science and Technology, Kattankulathur, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeyakumar","family":"Sundaraj","sequence":"additional","affiliation":[{"name":"General Surgery, SRM Institute of Science and Technology, Kattankulathur, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sundeep","family":"Selvamuthukumaran","sequence":"additional","affiliation":[{"name":"General Surgery, SRM Institute of Science and Technology, Kattankulathur, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2020,9,15]]},"reference":[{"key":"2025082713155217000_13.9.e235644.1","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1016\/j.jmu.2014.04.004","article-title":"Obturator Hernia: The \u201cLittle Old Lady's Hernia\u201d","volume":"22","author":"Lien","year":"2014","journal-title":"J Med Ultrasound"},{"key":"2025082713155217000_13.9.e235644.2","doi-asserted-by":"crossref","DOI":"10.1097\/MD.0000000000004102","article-title":"Obturator hernia as a frequent finding during laparoscopic pelvic exploration: a retrospective observational study","volume":"95","author":"Susmallian","year":"2016","journal-title":"Medicine"},{"key":"2025082713155217000_13.9.e235644.3","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1016\/j.ijscr.2017.06.024","article-title":"Rare case of incarcerated obturator hernia: case report and review of literature","volume":"37","author":"S\u00e1","year":"2017","journal-title":"Int J Surg Case Rep"},{"key":"2025082713155217000_13.9.e235644.4","doi-asserted-by":"publisher","DOI":"10.1007\/PL00013176"},{"key":"2025082713155217000_13.9.e235644.5","unstructured":"Tito WA , Allen WC JB HN , Condon RE , eds. 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