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Scholars Journal of Medical Case Reports | Volume-14 | Issue-02
Small Bowel Obstruction Due to an Obturator Hernia with Lateral Strangulation (Richter’s Hernia): A Case Report and Literature Review
Ettaoussi Abdelhak, Benzidane Kamal, Ismael Ibrahim, Ichrak Bouali, Majd Abdessamad, Kamal Khadija, Bouali Mounir, El Bakouri Abdelilah, El Hattabi Khalid
Published: Feb. 16, 2026 |
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13
Pages: 251-253
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Abstract
Obturator hernia is a rare cause of intestinal obstruction, primarily affecting elderly, thin women. The Richter’s variant, which involves only a portion of the intestinal wall, poses a diagnostic challenge due to its subtle clinical presentation. An 88-year-old woman, with no surgical history, presented with acute intestinal obstruction evolving over five days. Clinical examination revealed no remarkable findings. Abdominal CT scan initially suggested obstruction due to a primary adhesive band. Emergency laparotomy revealed lateral strangulation of a small bowel loop at the obturator right foramen, which was necrotic. Segmental small bowel resection of 5 cm with hand-sewn end-to-end anastomosis was performed, along with hernia repair by peritoneal suturing. Postoperative recovery was uneventful.