Obturator Sign: Causes & Reasons

Possible Causes for Obturator Sign

Obturator sign The obturator internus and nearby muscles Differential diagnosis (obturator internus muscle irritation) due to appendicitis The obturator sign or Cope's obturator [en.wikipedia.org]

Psoas signs is present, with a negative obturator sign. Lab studies show a white blood cell count of 15.3, beta HCG is negative. [medbullets.com]

A psoas or obturator sign is considered positive when contact between the psoas or the obturator muscle and the inflamed appendix elicits pain. [clinicaladvisor.com]

Perforated Appendix

The obturator sign. Pain on passive internal rotation of the flexed thigh. [aafp.org]

Clinical data included a presence of right lower quadrant tenderness, rebound tenderness, Rovsing sign, Psoas sign and Obturator sign. [omicsonline.org]

Anatomic basis for the obturator sign: inflamed appendix in the pelvis is in contact with the obturator internus muscle, which is stretched by this maneuver. [aafp.org]

Appendicitis

[…] indicates a positive obturator sign Rovsing's sign pressure over the descending colon causes pain in the RLQ Evaluation Labs absolute neutrophillic leukocytosis and left [step2.medbullets.com]

The obturator sign. Pain on passive internal rotation of the flexed thigh. [aafp.org]

Obturator sign: RLQ pain with flexion and internal rotation of the right leg The key symptom in appendicitis is right lower quadrant pain! [amboss.com]

Appendiceal Abscess

McBurney's point of greatest tenderness Blumberg sign Rovsing’s Sign Dunphy sign Cough Test Obturator sign Psoas sign Markle sign 11 Location appendix during pregnancy 12 [slideplayer.com]

[…] nausea, and anorexia - Afebrile or has a low-grade fever, 38 º C Higher fevers are associated with a perforated appendix 10 Special maneuvers it is only the area McBurney sign [slideplayer.com]

Ischiorectal Abscess

ICD-10-CM Codes › K00-K95 Diseases of the digestive system › K55-K64 Other diseases of intestines › K61- Abscess of anal and rectal regions › Ischiorectal abscess 2016 2017 2018 2019 - Converted to Parent Code 2020 Non-Billable/Non-Specific Code K61.3 should not be used for reimbursement purposes as there are[…] [icd10data.com]

Pelvic Fracture

Home > 2015 ICD-9-CM Diagnosis Codes > Injury And Poisoning 800-999 > Fracture Of Spine And Trunk 805-809 > Fracture of pelvis 808- > 808 Fracture of pelvis 808.0 Closed fracture of acetabulum convert 808.0 to ICD-10-CM 808.1 Open fracture of acetabulum convert 808.1 to ICD-10-CM 808.2 Closed fracture of pubis[…] [icd9data.com]

Acute Peritonitis

Abstract To report etiological and prognostic characteristics of acute peritonitis in children. This retrospective study reviewed the records for a 30-month period (January 2013-June 2015) at Zinder National Hospital (Niger) of all children between the ages of 0-15 years who underwent surgery for non-traumatic[…] [ncbi.nlm.nih.gov]

Obturator Hernia

She remains well, and CT scans showed no signs of obturator hernia recurrence at the 7-month follow-up. [ncbi.nlm.nih.gov]

[…] to the hip due to compression of the anterior division, a sign known as the Howship-Romberg sign. [symptoma.com]

Other classic signs, though not always present include obturator neuralgia, the Howship-Romberg sign and the Hannington-Kiff sign. [ncbi.nlm.nih.gov]

Pelvic Abscess

Abstract Pelvic abscesses and fluid collections are relatively common complications of major pelvic surgery. When a radical cystectomy has been performed, the ultrasonic acoustic window to normal anatomic landmarks is lost and bowel loops prolapse into the anatomic pelvis. This makes standard suprapubic[…] [ncbi.nlm.nih.gov]

Intraperitoneal Abscess in the Right Lower Quadrant

Obturator sign: Pain elicited when the examiner passively performs internal rotation with the flexed right thigh. May be positive in cases of a pelvic appendix. [clinicaladvisor.com]

[…] of peritoneal irritation (rebound tenderness, guarding, rigidity), and classic signs elicited by clinical examination (e.g., the McBurney, Rovsing, psoas, or obturator signs [effectivehealthcare.ahrq.gov]

Physical signs classically associated with acute appendicitis include Rovsing sign, psoas sign, and obturator sign. ^ Rovsing, N.T. (1907). [en.wikipedia.org]

Pelvic Appendix

Physical signs of Appendicitis Rovsings sign Psoas sign Obturator sign Aarons sign Straight leg raising sign Pointing sign Rebound tenderness Abdominal guarding Digital rectal [jotscroll.com]

The obturator sign. Pain on passive internal rotation of the flexed thigh. [aafp.org]

Obturator sign: when the examiner flexes the patient's right hip and knee followed by internal rotation of the right hip, this elicits right lower quadrant pain. [errolozdalga.com]

Left-Sided Appendicitis

Obturator sign References [ edit ] [en.wikipedia.org]

The obturator sign is positive when passive internal rotation of the hip aggravates the pain of an inflamed appendix lying on the obturator internus, but, an ovarian pathology [intechopen.com]

The classic Psoas, Obturator and Rosving’s signs are all relatively poor predictors of appendicitis. [cdemcurriculum.com]

Chronic Appendicitis

Psoas signs is present, with a negative obturator sign. Lab studies show a white blood cell count of 15.3, beta HCG is negative. [step2.medbullets.com]

[…] pain in the right lower quadrant with flexion of the right hip against resistance, and the “obturator sign” or pain in the right lower quadrant with flexion of the right knee [infectiousdiseaseadvisor.com]

The obturator sign is positive when passive internal rotation of the hip aggravates the pain of an inflamed appendix lying on the obturator internus, but, an ovarian pathology [intechopen.com]

Dental Intrusion

The canal should be temporarily dressed with nonsetting calcium hydroxide paste before obturation. [jcda.ca]

Teeth with incomplete root development: Endodontic treatment is indicated only when there are signs of pulp necrosis. Therefore, periodic assessment is essential. [jcda.ca]

If endodontic treatment is required, an apical barrier should be achieved prior to obturation (by apexification/revascularization). [jcda.ca]

Abdominal Disorder

Positive obturator sign C. Rebound tenderness D. Marked febrile response 5. A 26-year-old man presents with acute abdominal pain. [proprofs.com]

Obturator sign: Pain elicited when the examiner passively performs internal rotation with the flexed right thigh. May be positive in cases of a pelvic appendix. [clinicaladvisor.com]

sign). [ncbi.nlm.nih.gov]

Recurrent Appendicitis

Obturator sign : RLQ pain with flexion and internal rotation of the right leg Pain in the Pouch of Douglas : pain elicited by palpating the recto-uterine pouch on rectal [amboss.com]

The obturator sign is positive when passive internal rotation of the flexed right hip in the supine patient produces RLQ pain These signs suggest inflammation of the psoas [clinicaladvisor.com]

Physical signs classically associated with acute appendicitis include Rovsing sign, psoas sign, and obturator sign. ^ Rovsing, N.T. (1907). [en.wikipedia.org]

Omental Volvulus

Rovsing and obturator signs were positive. No bowel sounds were heard. Because of continuing abdominal tenderness, a CT with oral and IV contrast was obtained. [clinicaladvisor.com]

Multiple blood vessels with signs of thrombosis (HE staining, 50x) Fig ure 5. Vacular endothelium (IHC staining CD 34 – positive; 50x) Fig ure 6. [pubs.sciepub.com]

The morphological exploration (hematoxylin-eosin and immunohistochemical staining) of the specimen revealed arteriovenous malformation with obturating thrombosis, foci of [pubs.sciepub.com]

Littre Hernia

Other less frequent signs include identification through vaginal examination of the obturator canal at 2 o’clock and 10 o’clock positions and the Hannigton Kiff sign (absent [annsaudimed.net]

Meckel diverticulum is a rare cause of intestinal obstruction and its existence in an obturator hernia is extremely rare; our literature search revealed only two reported [annsaudimed.net]

In around half of cases, compression of the obturator nerve passing through the obturator canal will result in a positive Howship-Romberg sign (hip and knee pain exacerbated [teachmesurgery.com]

Pyomyositis

The clinical presentation and laboratory evaluation clearly signified appendicitis to me, with exquisite point tenderness over the appendix, a positive psoas sign, obturator [journals.lww.com]

sign, and Rovsing's sign. [journals.lww.com]

Mesenteric Lymphadenitis

Obturator sign Main article: Obturator sign If an inflamed appendix is in contact with the obturator internus, spasm of the muscle (called the obturator sign ) can be demonstrated [gutenberg.us]

A positive Murphy's sign (interruption of deep inspiration by pain when the physician's fingers are pressed beneath the right costal margin) suggests acute cholecystitis. [aafp.org]

A positive Massouh sign is a grimace of the patient upon a right sided (and not left) sweep, because initial stage appendicitis usually causes localised irritation of the [gutenberg.us]

Meckel Diverticulum

sign. [portal.lf.upjs.sk]

Obturator, psoas, Murphy’s and Rovsing’s signs were all negative. On digital rectal exam, the rectal vault was empty and stool tested guaiac negative. [intjem.springeropen.com]

[…] laboratory results: His physical examination revealed tenderness in the right iliac fossa, local guarding and rebound tenderness at the McBurney point, without psoas or obturator [portal.lf.upjs.sk]

Synovitis

Hefke and Turner (7) described the swelling of the obturator internus as an early x-ray sign of infectious arthritis of the hip joint and called it the “obturator sign.” [pubs.rsna.org]

Other studies have reported a positive obturator sign in established incidents of transient synovitis. [emedicine.medscape.com]

(Waldenström sign), prominent obturator shadow, diminution of soft tissue planes around the hip joint or slight demineralisation of the proximal femur. [en.wikipedia.org]

Aortic Valve Stenosis

or pain caused by passive internal rotation of the flexed thigh (obturator sign). [merckmanuals.com]

[…] may be present in a minority of patients: Rovsing sign (RLQ pain with palpation of the LLQ): Suggests peritoneal irritation Obturator sign (RLQ pain with internal and external [emedicine.medscape.com]

[…] with palpation of the left lower quadrant (Rovsing sign), an increase in pain caused by passive extension of the right hip joint that stretches the iliopsoas muscle (psoas sign [merckmanuals.com]

Asphyxia

or pain caused by passive internal rotation of the flexed thigh (obturator sign). [merckmanuals.com]

Urethral Carcinoma

External groin or pelvic (obturator) lymph nodes are usually the first sites of metastasis. [msdmanuals.com]

Symptoms and Signs Most women present with hematuria and obstructive voiding symptoms or urinary retention. [msdmanuals.com]

Coxitis Fugax

(Waldenström sign), prominent obturator shadow, diminution of soft tissue planes around the hip joint or slight demineralisation of the proximal femur. [en.wikipedia.org]

Widening of the medial joint space Waldenström sign – Lateral displacement of the femoral epiphyses with surface flattening Prominent obturator shadow Slight demineralization [boneandspine.com]

Subtle radiographic signs include an accentuated pericapsular shadow, widening of the medial joint space, lateral displacement of the femoral epiphyses with surface flattening [en.wikipedia.org]

Retroperitoneal Hemorrhage

Abstract: A man developed signs of femoral and obturator neuropathy due to spontaneous retroperitoneal hemorrhage while taking anticoagulant drugs for suspected thrombophlebitis [deepblue.lib.umich.edu]

CT scans should be used in all patients developing signs of peripheral nerve entrapment during anticoagulant therapy. PMID: 7333101 [deepblue.lib.umich.edu]

Femoral and obturator neuropathy secondary to retroperitoneal hemorrhage the value of the ct scan." Computerized Tomography 5(3): 221-224. [deepblue.lib.umich.edu]

Retractile Mesenteritis

[…] the iliopsoas muscle – result is positive if extension produces pain • Obturator sign – irritation in the pelvis – passive internal rotation of the flexed right thigh with [slideshare.net]

• Rectal examination may reveal localised tenderness as the only sign of an inflamed retrocaecal or pelvic appendix JMJ 22 23. What is Alvarado Score? [slideshare.net]

Signs • Signs of localized muscle irritation also may be present • Psoas sign – lie on the left side as the examiner slowly extends the patient's right thigh, thus stretching [slideshare.net]

Bladder Polyp

●Hypogastric, rectal, and perineal pain can be signs of disease invading the obturator fossa, perirectal fat, presacral nerves, or the urogenital diaphragm. [es.slideshare.net]

Fecal Incontinence

） Obturator sign（英语：Obturator sign） Rovsing's sign Hamburger sign（英语：Hamburger sign） Heel tap sign（英语：Heel tap sign） Aure-Rozanova's sign（英语：Aure-Rozanova's sign） Dunphy sign [zh.wikipedia.org]

Hypersalivation）嗝氣濕打嗝（英语：Wet burp）排便胃腸脹氣大便失禁遺屎症（英语：Encopresis）出血: 糞便潛血（英语：Fecal occult blood）里急后重便秘排便障礙（英语：problem pooping）腹瀉直腸排泄（英语：Rectal discharge）腰大肌徵（英语：Psoas sign [zh.wikipedia.org]