case_images: PMC6108096_01
case_images: Transversal CT scan. The yellow arrow indicates bowel in the obturator foramen
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case_images: PMC6108096_01_13037_2018_173_Fig1_HTML.jpg
case_images: Fig1
case_images: A CT of the abdomen identified the cause of the small bowel obstruction to be a herniation of the ileum between the internal and external obturator muscles (obturator foramen) with signs of incarceration, Figs. 1 and 2.
case_images: Coronary CT scan. The yellow arrow indicates bowel in the obturator foramen
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case_images: PMC6108096_01_13037_2018_173_Fig2_HTML.jpg
case_images: Fig2
case_images: A CT of the abdomen identified the cause of the small bowel obstruction to be a herniation of the ileum between the internal and external obturator muscles (obturator foramen) with signs of incarceration, Figs. 1 and 2.
case_images: Intraoperative finding. A segment of the small bowel was trapped in the obturator canal
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case_images: PMC6108096_01_13037_2018_173_Fig3_HTML.jpg
case_images: Fig3
case_images: An emergency diagnostic laparoscopy was performed and the trapped ileum segment was bluntly reduced, Fig. 3.
case_images: Laparoscopic management of the obturator hernia using an endoloop
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case_images: PMC6108096_01_13037_2018_173_Fig4_HTML.jpg
case_images: Fig4
case_images: The hernia was laparoscopically managed via resection and closure of the redundant peritoneum over the obturator foramen using an endoloop (Fig. 4.).
case_images: Intraoperative real-time ICG fluorescence angiography following bowel reduction. The left upper image demonstrates the laparoscopic mode; the middle image indicates the angiographic mode while the lower image indicates the fluorescence mode (corresponding to the enlarged image). Note the longitudinal discolouration in the middle of the anti-mesenteric bowel surface with lack of perfusion
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case_images: PMC6108096_01_13037_2018_173_Fig5_HTML.jpg
case_images: Fig5
case_images: ICG fluorescence angiography was performed following injection of 3 ml of ICG and the bowel perfusion was observed using the PINPOINT   system (PINPOINT; Novadaq, Canada). ICG fluorescence suggested the presence of irreversible ischaemia with the need of bowel resection, Fig. 5.
case_images: Real-Time ICG fluorescence image following anastomosis showing a well perfused anastomosis
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case_images: Fig6
case_images: Figure 6 demonstrates a normal bowel perfusion after ICG following anastomosis.