Obturator hernia is a rare pelvic hernia but the outcome may be serious when it is associated with difficult in diagnosis. A 83 year old male attending to the emergency department with mechanical intestinal obstruction and hipovolemic shock was managed with small bowel obstruction due to strangulated obturator hernia during laparotomy. Partial ileum resection and hernia repair were performed at the same session. The patient died 2 days after the operation because of pulmoner failure. Obturator hernia, which is a rare cause of the small bowel obstruction, should be kept in mind in elderly emaciated patients with chronic disease who have signs with mechanical intestinal obstruction.
Keywords: OBTURATOR HERNIA, MECHANICAL ILEUS