Presentation
DIstended abdomen and vomiting.
Patient Data
Age: 80 years
Gender: Male
From the case:
Small bowel obstruction due to inguinal hernia
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Multiple loops of dilated fluid filled small bowel with the transitional point at the entry point of the small bowel into a small right inguinal hernia (see annotations).
Small splenic and renal cortical cysts.
Minor perisplenic free fluid.
Small hiatus hernia. Sigmoid diverticulosis.
Case Discussion
Abdominal and groin hernias are one of the commoner causes of small bowel obstruction.
In this case the transitional point is nicely observed at the entry point into the inguinal hernia.
Surgical correction in this scenario is far simpler than for an adhesional obstruction.
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