71세 KS 할머니는 아침부터 갑자기 배가 아파서 여러 병원을 거쳐서 오셨다.

단순 촬영에선 장 폐쇠 소견은 미미하였지만 CT 소견은 진단이 너무 확실했다.

obturator hernia로 온 장폐쇠증이었다. 개복 수술로 쉽게 reduction을 했다.

An obturator hernia is a rare type of abdominal wall hernia in which abdominal content protrudes through the obturator foramen.

Because of differences in anatomy, it is much more common in women than in men, especially multiparous and older women who

have recently lost a lot of weight.

The diagnosis is often made intraoperatively after presenting with bowel obstruction.

A gynecologist may come across this type of hernias as a secondary finding during gynecological open surgery or laparoscopy

The Howship-Romberg sign is suggestive of an obturator hernia, exacerbated by thigh extension, medial rotation and adduction.

It is characterized by lancilating pain in the medial thigh/obturator distribution, extending to the knee;

caused by hernia compression of the obturator nerve.