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The appendix is commonly located in the retrocecal or pelvic region. The obturator sign indicates the presence of an inflamed pelvic appendix. Evidence shows that the obturator test does not adequately diagnose appendicitis, but can be used in conjunction with other signs and symptoms to make a diagnosis. [2]
The internal obturator muscle or obturator internus muscle originates on the medial surface of the obturator membrane, the ischium near the membrane, and the rim of the pubis. It exits the pelvic cavity through the lesser sciatic foramen. The internal obturator is situated partly within the lesser pelvis, and partly at the back of the hip-joint.
appendicitis, gastrointestinal hemorrhage The psoas sign , also known as Cope's sign (or Cope's psoas test [ 1 ] ) or Obraztsova's sign, [ 2 ] is a medical sign that indicates irritation to the iliopsoas group of hip flexors in the abdomen , and consequently indicates that the inflamed appendix is retrocaecal in orientation (as the iliopsoas ...
Appendicitis typically causes pain in the right lower quadrant of the abdomen, though there are some populations that may present differently, such as pregnant people. ... Pelvic inflammatory ...
An obturator hernia is a rare type of hernia, encompassing 0.07-1% of all hernias, [2] of the pelvic floor in which pelvic or abdominal contents protrudes through the obturator foramen. The obturator foramen is formed by a branch of the ischial (lower and back hip bone) as well as the pubic bone.
Psoas sign – pain with extension of the hip and tensing of the psoas muscle [18] Obturator sign – pain when tensing the obturator muscle [18] Rovsing's sign – pain in the right lower abdominal quadrant on palpation of the left side of the abdomen [18] McBurney's sign – deep tenderness at McBurney's point [18]
The obturator canal is a passageway formed in the obturator foramen by part of the obturator membrane and the pelvis. It connects the pelvis to the thigh . Structure
The Howship–Romberg sign is inner thigh pain on internal rotation of the hip. It can be caused by an obturator hernia. [1] [2] [3] It is named for John Howship and Moritz Heinrich Romberg. [4] [5] [6]