Obturator hernia combined with femoral hernia: A case report

Table 1 Literature review on obturator hernia combined with femoral hernia

Ref.	Sex	Age, year	Symptoms	Imaging findings	Final diagnosis	Surgical approach
Watkins et al[16]	Female	43	Obstruction and tenderness of the left inguinal region	Upright abdominal X-ray showed dilated small bowel loops with air-fluid levels	Left femoral hernia combined with left obturator hernia	Open surgery
Uludag et al[17]	Female	77	Nausea, vomiting, abdominal pain, as well as swelling and pain in the right inguinal region	Findings of upright abdominal X-ray: Multiple dilated loops of small intestine with air-fluid levels	Right femoral hernia complicated with left obturator hernia	Open surgery
Lynch et al[18]	Female	85	Abdominal pain	Finding on CT: Left obturator hernia complicated with small bowel obstruction	Left obturator hernia combined with left femoral hernia	Laparoscopic surgery
Seppälä et al[19]	Female	91	Vomiting	Finding on CT: Suspected right inguinal hernia	Right obturator hernia combined with right femoral hernia	Open surgery
Santorelli et al[14]	Female	36	Abdominal pain, swelling of the right inguinal region, and signs of intestinal obstruction	Finding on CT: Suspected right inguinal hernia	Right obturator hernia combined with right femoral hernia	Open surgery plus laparoscopic surgery
Malik et al[20]	Female	75	Specific bilateral inguinal pain radiating to the thighs	Finding on CT: Bilateral obturator hernia	Bilateral obturator hernia combined with bilateral femoral hernia	Laparoscopic surgery
Jiang et al[11]	Female	83	Abdominal pain, abdominal distension, vomiting, flatulence and absence of defecation	Finding on CT: Suspected left inguinal hernia, right femoral hernia, and right obturator hernia	Left inguinal hernia combined with right femoral hernia and right obturator hernia	Open surgery
Ramkumar et al[21]	Female	82	Bilateral thigh pain and swelling	Finding on CT: Right obturator hernia	Bilateral obturator hernia combined with right inguinal hernia and right femoral hernia	Laparoscopic surgery
Polyakov et al[22]	Unknown	80	Persistent abdominal pain and irreducible mass in the right inguinal region	Finding of upright abdominal plain film: Signs of intestinal obstruction	Left recurrent indirect hernia; right combined hernia (femoral hernia, obturator hernia, indirect hernia and direct hernia)	Laparoscopic surgery
Nguyen and Nguyen[23]	Female	81	Acute onset of medial thigh pain and intestinal obstruction	Finding on CT: Obturator hernia	Right obturator hernia combined with right femoral hernia	Laparoscopic surgery
Chiba et al[24]	Female	86	Lower abdominal pain and vomiting	Finding on CT: Right obturator hernia	Bilateral obturator hernia complicated with bilateral femoral hernia	Laparoscopic surgery
Fujita et al[25]	Female	68	Abdominal pain	Finding on CT: Concurrent left inguinal hernia, Nuck’s canal hydrocele, or left femoral hernia	Left inguinal hernia complicated with left femoral hernia and left obturator hernia	Laparoscopic surgery
Naito et al[26]	Female	70	Abdominal pain accompanied by vomiting	Finding on CT: Right femoral hernia and right obturator hernia involving the bladder	Right femoral hernia complicated with right obturator hernia	Laparoscopic surgery
Neureiter et al[27]	Female	79	Right lumbar pain	Finding on CT: Right obturator hernia	Right obturator hernia complicated with right femoral hernia	Laparoscopic surgery
Zhu et al[28]	Female	80	Progressive pain from the medial left thigh to the knee, accompanied by limited mobility of the left limb	Finding on CT: Left incarcerated obturator hernia	Left incarcerated obturator hernia complicated with left inguinal hernia and femoral hernia; right obturator hernia complicated with right femoral hernia	Laparoscopic surgery
Present case	Female	84	Right inguinal pain	Finding on CT: Right obturator foramen	Right obturator hernia complicated with right femoral hernia	Open surgery

CT: Computed tomography.