Presentation
Abdominal pain.
Patient Data
Age: 90
Gender: Male
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Multiple distended loops of small bowel centrally with numerous air-fluid levels in keeping with a small bowl obstruction. Gas and feces is noted within the rectum and colon, indicating this may be an early or partial obstruction.
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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
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