case_images: PMC10395156_01
case_images: In the contrast-enhanced computed tomography, the red circle was hernia content, and the yellow arrow was the obturator artery. (a) A coronal view, and (b) A sagittal view showing a herniated viscera passing through the obturator hole.
case_images: 10.1177_2050313X231185956-fig1.jpg
case_images: PMC10395156_01_10.1177_2050313X231185956-fig1.jpg
case_images: fig1-2050313X231185956
case_images: An emergent abdominopelvic CT scan with the contrast material was indicated, showing a protrusion of an ileal loop in the right obturator foramen (Figure 1).
case_images: (a) The intraoperative image showed foramen of femoral and obturator hernias. (b) Image of covering mesh placement of two hernia holes. The white arrow revealed a femoral hernia hole and the black arrow showed an obturator hernia hole.
case_images: 10.1177_2050313X231185956-fig2.jpg
case_images: PMC10395156_01_10.1177_2050313X231185956-fig2.jpg
case_images: fig2-2050313X231185956
case_images: The right OH and a concurrent right femoral hernia were confirmed without any hernia content during the operation (Figure 2). We decided to perform a transabdominal preperitoneal (TAPP) repair procedure with a 10 x 15 cm polypropylene mesh covering two holes of hernias with a minimum hernia margin of at least 3 cm (Figure 2).