Small bowel obstruction due to an incarcerated femoral hernia

Case contributed by Dr David Cuete


Study requested for suspected bowel obstruction.

Patient Data

Age: 40
Gender: Female

CT abdomen and pelvis

Computed tomography shows dilated small bowel loops, associated with a right femoral hernia.

Case Discussion

Intestinal obstruction due to an abdominal hernia is the second commonest cause of small bowel obstruction after adhesions and most are secondary to incarceration and strangulation. It is a rare cause of colonic obstruction.

Key findings on CT are dilated proximal loops distal to the hernia with a ''knuckle'' of bowel caught in the hernia neck.

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Case information

rID: 27277
Case created: 26th Jan 2014
Last edited: 10th Dec 2015
Inclusion in quiz mode: Included

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