{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T09:40:30Z","timestamp":1776764430672,"version":"3.51.2"},"reference-count":15,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T00:00:00Z","timestamp":1776729600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Obturator hernia is an extremely rare subtype of abdominal wall hernia, typically occurring in elderly female with a history of chronic increased intra-abdominal pressure or multiple pregnancies. However, it is rarely encountered in young individuals, which may lead to diagnostic oversight. Here, we report a case of a young female with Marfan syndrome who developed a left obturator hernia<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient presentation<\/jats:title>\n                    <jats:p>A young female with Marfan syndrome and pectus excavatum presented with 6\u2005h of persistent severe left inguinal pain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Diagnostic process<\/jats:title>\n                    <jats:p>Physical examination revealed a 2\u2005cm\u2009\u00d7\u20092\u2005cm localized swelling in the upper medial aspect of the left thigh, medial to the inguinal ligament. Left Howship-Romberg sign (+). Computed tomography (CT) examination indicated pectus excavatum, cardiomegaly, and a left obturator hernia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Intervention<\/jats:title>\n                    <jats:p>Based on these findings, laparoscopic preperitoneal inguinal hernia mesh repair was performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcome<\/jats:title>\n                    <jats:p>The patient was discharged on postoperative day 3 and followed up for 14 months. Recovery was uneventful with no complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This case highlights the importance of differential diagnostic thinking for hernias in patients with connective tissue diseases.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fsurg.2026.1797226","type":"journal-article","created":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T08:46:42Z","timestamp":1776761202000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Case Report: Marfan syndrome complicated with obturator hernia"],"prefix":"10.3389","volume":"13","author":[{"given":"Danning","family":"Zhang","sequence":"first","affiliation":[{"name":"Zunyi Medical University","place":["Zunyi, Guizhou, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zining","family":"Chen","sequence":"additional","affiliation":[{"name":"Zunyi Medical University","place":["Zunyi, Guizhou, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaolong","family":"He","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Digestive Disease Hospital, Affiliated Hospital of Zunyi Medical University","place":["Zunyi, Guizhou, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qingbo","family":"Feng","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Digestive Disease Hospital, Affiliated Hospital of Zunyi Medical University","place":["Zunyi, Guizhou, China"]},{"name":"Guizhou Provincial Key Laboratory of Digestive System Diseases","place":["Zunyi, Guizhou, 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