Indirect inguinal incarcerated hernia

Case contributed by Dr Domenico Nicoletti

Presentation

Severe abdominal pain

Patient Data

Age: 65
Gender: Male

CT abdomen and pelvis with contrast

Modality: CT

There is distension of small intestine and multiple corresponding air-fluid levels, with a transition point in a distal loop of ileum in an indirect inguinal hernia.  There is small amount of fluid in the right inguinal canal, surrounding the herniated loop, which is suspicious for strangulation, but there are no definite signs of ischemia in the bowel loops.

Case Discussion

An inguinal hernia is a common cause for a small bowel obstruction.

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Case Information

rID: 51709
Case created: 4th Mar 2017
Last edited: 8th Mar 2017
Inclusion in quiz mode: Excluded

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