Small bowel obstruction due to Spigelian hernia

Case contributed by Vikas Shah
Diagnosis almost certain

Presentation

Right sided abdominal pain and vomiting. Previous cholecystectomy.

Patient Data

Age: 55 years
Gender: Female

Acute high grade small bowel obstruction with transition point within a right anterolateral abdominal wall hernia.

Case Discussion

When reviewing cases of small bowel obstruction, as well as identifying the potential cause, it is important to look for complications such as bowel ischemia and perforation.

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