Management of pain from skeletal metastases is notoriously difficult. Case reports and case series have described radiofrequency ablation of the obturator nerve branches to the femoral head for treatment of intractable hip pain. Ablation of the obturator branches to the femoral head is technically difficult because of bony and vascular anatomy, including close proximity of the femoral vessels. ...

BACKGROUND Richter's obturator hernia is a rare abdominal hernia that is difficult to diagnose. The purpose of this case report is to show an unusual presentation of a fatal Richter's obturator hernia that was accompanied by a femoral abscess. CASE REPORT An 89-year-old woman complained of sudden left coxalgia and a gait disorder but no abdominal symptoms. She had no history of trauma or surger...

Obturator hernia is a rare type of pelvic hernia which generally occurs in elderly patients with accompanying diseases. Because it is difficult to diagnose before surgery ,the morbidity and mortality rates are high. The most common clinical presentation is intestinal obstruction with or without features of strangulation. We operated a case of 60 year old, multiparous, female patient admitted in...

Address for Correspondence: Dr Amar Singh L, Associate Professor, Department of Anatomy, International Medical School, MSU, Bangalore campus, New BEL road, MSRIT post, Bangalore560054, Karnataka, India. Cell: 09901042452, E-Mail: [email protected] Introduction: Obturator artery usually arises from anterior division of internal iliac artery. Variations in its origin and course can lead to unn...

To cite: Gupta R, Singh H, Kang M, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2014207071 DESCRIPTION A frail 60-year-old woman presented with a 5-day history of pain in the abdomen, constipation, vomiting and abdominal distension. There was no history of surgery or tuberculosis. On examination, the abdomen was distended and non-tender. The hernial site...

INTRODUCTION Restoring the normal separation that exists between the oral cavity and the nasal cavity is critical in allowing a patient to maintain speech and swallowing function after maxillectomy. Failure of adequate separation after maxillectomy will often result in severe oronasal incompetence, which is generally not possible for the patient to overcome without intervention. Two broad categ...

There are a number of puzzling circumstances related to the occurrence of the accessory obturator nerve and the innervation of the pectineus muscle. What is the frequency of occurrence of the nerve? What is its pattern of innervation? Does the pectineus muscle belong to the ventral or the dorsal division of the thigh musculature? Is its position in the ventral or the dorsal division reflected i...

Botulinum toxin (BoNT) injections have been used to reduce muscle spasm in the presence of severe pelvic pain. However, while pubococcygeus is easily accessed vaginally, injection to obturator internus is more complex - with variation in operative technique and needle placement confounding the ability to assess outcomes. We describe a simplified technique for BoNT injection to obturator internu...

We encountered some multiple vessel variations in the retropubic region of a 55-year-old male cadaver. The obturator artery had its origin from the external iliac artery, and inferior epigastric artery from the femoral artery. Additionally, an anastomosis between obturator and inferior epigastric veins (venous Crown of death) was observed.