Incidental scrotal hernia and extrafocal photon artifact on hip x-ray
Diagnosis certain
Presentation
Recent pertrochanteric fracture stabilized by DHS. Position postoperative control.
Patient Data
Age: 100 years
Gender: Male
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- DHS in appropriate position, surgical drain in situ, subtle soft tissue air in line with recent surgery.
- On the oblique view a large scrotal hernia can be observed containing gas-filled bowel loops and solid content as well.
- On the frontal view laterally a bright band-like artifact is visible where the tubes and marker are more clearly depicted. This is a rare artifact caused by extrafocal weaker photons.
Case Discussion
The two image DHS follow-up study turned out to be a demonstration of an incidental scrotal hernia, as well as a display of a not so well known but not uncommon artifact caused by extrafocal low energy x-ray.
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