Clinics in diagnostic imaging (107)

Dundamadappa SK, Tsou IYY, Goh JSK
Correspondence: Dr Ian Tsou Y Y, ian_tsou@ttsh.com.sg

ABSTRACT
A 90-year-old woman was admitted for progressively increasing lower abdominal pain. There was no history of prior surgery, and physical examination was non-specific. The supine abdominal radiograph revealed an abnormal collection of air over the right obturator foramen. Computed tomography showed a right obturator hernia with incarcerated bowel in the hernial sac, and a right sciatic hernia containing the right ovary. The anatomy of obturator and inguinal hernias is reviewed, and the use of various imaging modalities in evaluation of abdominal hernias is discussed.

Keywords: abdominal hernia, computed tomography, obturator hernia, sciatic hernia
Singapore Med J 2006; 47(1): 89-95