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July 10, 1948

OBTURATOR HERNIA: Report of a Successful Operative Case

Author Affiliations


From the Lahey Clinic (Department of Surgery, Dr. Adams, and Fellow in Surgery, Dr. Smith).

JAMA. 1948;137(11):948-950. doi:10.1001/jama.1948.82890450007008

Herniation of intra-abdominal structures through the obturator foramen in the innominate bone has been recognized as a surgical condition since Arnaud de Ronsil1 reported the first such incidence before the Royal Academy of Sciences in Paris in 1724. Watson,2 in 1938, collected 420 cases from the literature. We were able to find only 8 additional cases from Jan. 1, 1938, to July 1, 1946, most of which were single case reports from widely separated sources. Only 1 case occurs in the records of the Lahey Clinic since its inception in 1925. Short3 reported occurrence of a solitary case at the British Royal Infirmary over a period of a quarter of a century. The condition, however, is probably somewhat more common than this would lead one to believe, since some patients no doubt go through life asymptomatic or with their disease undiagnosed, some die without postmortem examination to