Presentation
The patient is post an infra-umbilical hernia repair. There is ongoing abdominal pain and distension.
Patient Data
The post-operative abdominal x-ray confirms distended small bowel loops with air-fluid levels, There is no free intraperitoneal air. There are central pelvic radio opaque, hernia wire mesh repair, non-absorbable, permanent surgical tacks.
Case Discussion
An example of small bowel ileus in a setting of a recent anterior abdominal wall hernia repair (infra-umbilical ), confirmed on a post-operative Gastrografin challenge (not uploaded).
There is a wire mesh repair with permanent, titanium, non-absorbable, surgical fixation tacks as demonstrated by the spiral spring-like metallic artifacts.