Presentation
Patient presented after 3 days of vomiting and nausea. Tenderness on the right upper quadrant. distended abdomen. bowels not open for 2 days
Patient Data
The stomach is distended. Dilated gas filled centrally placed small bowel loops. Rectal gas noted. The appearances are characteristic of mechanical small bowel obstruction.
Gross distension of stomach. Proximal and mid-small bowel loops are dilated, diameter 3.7 cm. Transition point seen in right groin. Herniated small bowel loop in the right groin is obstructed. The hernia sac is lateral to the pubic tubercle with compression of adjacent femoral vein noted, which favors femoral hernia. Distal small bowel loops are non-dilated.
Findings suggestive of obstructed right femoral hernia
Case Discussion
CT is known to be useful for the identification of groin hernias and their contents. It has also been reported that CT is useful to distinguish between direct and indirect inguinal hernias. This case shows that it also plays a role to differentiate femoral hernias from inguinal hernias.