Presentation
Recent ovarian cystectomy. Increasing abdominal pain and distension.
Patient Data
There are several loops of small bowel distended with gas within the upper and mid abdomen, with a paucity of gas in the large bowel.
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Multiple distended loops of small bowel with a transition point in the midline of the anterior abdominal wall adjacent to the umbilicus. Edema of the abdominal wall is present. A small volume of free abdominal fluid is present, no free gas. No signs of bowel ischemia. A soft tissue density "mass" in the right hemipelvis is likely a post-operative hematoma.
Case Discussion
Herniation of small bowel through a laparoscopic port site has led to acute high-grade small bowel obstruction. At surgery, the hernia was reduced with an abdominal wall repair.
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