Indirect inguinal incarcerated hernia

Case contributed by Domenico Nicoletti
Diagnosis certain

Presentation

Severe abdominal pain.

Patient Data

Age: 65 years
Gender: Female

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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