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Urade et al. Case report of an obturator hernia diagnosed by an orthopedist. Journal of Orthopaedic Science 10(3):321-323, 2005
股関節痛 Hip pain / groin pain の鑑別診断としての閉鎖孔ヘルニア
From http://emedicine.medscape.com/article/775630-overview
Because this hernia is hidden within deeper structures, it may not present as a swelling The patient may complain of abdominal pain or medial thigh pain, weight loss, or recurrent episodes of bowel or partial bowel obstruction
Pressure on the obturator nerve causes pain in the medial thigh that is relieved by thigh flexion. This same pain may be exacerbated by extension or external rotation of the hip (Howship-Romberg sign)
http://case-report-by-erp.blog.so-net.ne.jp/20071126