Presentation
Abdominal distension, vomiting, pain and absolute constipation for the last 2 days. Right scrotal swelling for last 5 years.
Patient Data
Supine x-ray of abdomen and pelvis showing dilated gut loops which are central in the location associated with a soft tissue shadow in the right inguinal region, containing dilated gut loops.
No free gas is noted in the abdomen.
Degenerative changes are seen in visualized bones.
Case Discussion
70 year-old male patient came to the emergency department with complaints of abdominal distension, vomiting, pain, and absolute constipation for the last 2 days with a past history of right scrotal swelling for the last 5 years. On x-ray supine abdomen and pelvis showed dilated gut loops which are central in the location associated with a soft tissue shadow in the right inguinal region, containing dilated gut loops without any free gas in the abdominal cavity.
Features suggestive of obstructed right-sided inguinal hernia causing small bowel obstruction.