Small bowel obstruction from incarcerated right inguinal hernia

Case contributed by Dr Henry Knipe

Presentation

Abdominal pain.

Patient Data

Age: 90
Gender: Male

Multiple distended loops of small bowel centrally with numerous air-fluid levels in keeping with a small bowl obstruction. Gas and faeces is noted within the rectum and colon, indicating this may be an early or partial obstruction. 

CT confirms small bowel obstruction and identifies the cause as an incarcerated right inguinal hernia containing small bowel. 

Case Discussion

  • small bowel dilatation is considered >3 cm in diameter
  • presence of colonic gas does not exclude a small bowel obstruction
PlayAdd to Share

Case information

rID: 31218
Case created: 25th Sep 2014
Last edited: 18th Sep 2015
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.