Wang YF, Chen J, Wu LY. Obturator hernia combined with femoral hernia: A case report. World J Gastrointest Surg 2026; 18(5): 118072 [DOI: 10.4240/wjgs.v18.i5.118072]
Corresponding Author of This Article
Yi-Feng Wang, Department of Surgery, The Second Affiliated Hospital of Jiaxing University, No. 1518 North Huancheng Road, Jiaxing 314000, Zhejiang Province, China. wangyif93@163.com
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Surgery
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case-report
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Wang YF, Chen J, Wu LY. Obturator hernia combined with femoral hernia: A case report. World J Gastrointest Surg 2026; 18(5): 118072 [DOI: 10.4240/wjgs.v18.i5.118072]
World J Gastrointest Surg. May 27, 2026; 18(5): 118072 Published online May 27, 2026. doi: 10.4240/wjgs.v18.i5.118072
Obturator hernia combined with femoral hernia: A case report
Yi-Feng Wang, Jing Chen, Li-Yuan Wu
Yi-Feng Wang, Jing Chen, Li-Yuan Wu, Department of Surgery, The Second Affiliated Hospital of Jiaxing University, Jiaxing 314000, Zhejiang Province, China
Author contributions: Wang YF, Chen J, and Wu LY jointly designed this study; Wang YF was responsible for study implementation, data collation and analysis, literature review, and drafting of the initial manuscript. All authors have read and approved the final version of the manuscript to be published.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Corresponding author: Yi-Feng Wang, Department of Surgery, The Second Affiliated Hospital of Jiaxing University, No. 1518 North Huancheng Road, Jiaxing 314000, Zhejiang Province, China. wangyif93@163.com
Received: December 29, 2025 Revised: January 18, 2026 Accepted: February 9, 2026 Published online: May 27, 2026 Processing time: 152 Days and 0.1 Hours
Abstract
BACKGROUND
Obturator hernia is an abdominal wall hernia in which intra-abdominal contents protrude through the obturator foramen of the pelvis into the femoral triangle region, which is bounded by the inguinal ligament, medial border of the adductor longus muscle, and medial border of the sartorius muscle. Femoral hernia occurs when a hernia sac passes through the femoral ring and descends along the femoral canal, emerging at the saphenous opening (fossa ovalis). Obturator hernia is uncommon in clinical practice, and obturator and femoral hernias occur more frequently in women. We present a rare case of concurrent obturator and femoral hernias, and review relevant literature to provide insights for selecting appropriate diagnostic and therapeutic strategies.
CASE SUMMARY
An 84-year-old female patient presented to our hospital with pain in the right groin area for more than one week, which had worsened in the past day. Physical examination revealed a soft, tender mass approximately 3 cm × 2 cm below the right inguinal ligament. Laboratory findings were unremarkable. Abdominal computed tomography performed at a local health center suggested a right obturator hernia, while abdominal color Doppler ultrasound performed at our hospital indicated a cystic mass adjacent to the right obturator externus muscle. Based on the symptoms, signs, and imaging findings, the initial diagnosis was right obturator hernia. However, intraoperative exploration confirmed the condition as a right obturator hernia combined with a femoral hernia.
CONCLUSION
Obturator hernia combined with femoral hernia is rare and has a high risk of incarceration, necessitating urgent surgery.
Core Tip: We report a rare case of obturator hernia combined with femoral hernia. We reviewed the relevant literature, compared the predisposed population, and described initial symptoms, imaging findings, final diagnosis, and surgical management of obturator hernia complicated with femoral hernia, in order to provide a reference for subsequent clinical practice.
