Presentation
Abdominal pain, nausea, vomiting.
Patient Data
Age: 35 years
Gender: Female
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Dilation of a segment of the mid small bowel leading into the umbilical hernia defect, which contains a short loop of dilated small bowel with surrounding fluid. The rest of the bowel is decompressed.
Case Discussion
Early small bowel obstruction due an incarcerated umbilical hernia, which was successfully reduced manually in the emergency department, helping to avoid the need for surgery. The amount of fluid surrounding the incarcerated loop helps to confirm that the loop has compressed vasculature and outflow and requires urgent attention.
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