Presentation
Follow-up aneurysm.
Patient Data
Biatrial enlargement. Bronchiectasis, linear consolidation, and ground-glass opacity in the medial paravertebral right lower lobe, likely sequela of aspiration. Subcentimetre liver hypodensities, too small to further characterise. Nodular thickening left adrenal gland. Renal cysts. Bladder diverticulum ascending to the left vesicoureteric junction. Circumferential bladder wall thickening, likely sequelae of prior long-standing bladder outlet obstruction. Status post prostatectomy. Moderate to severe mixed atherosclerotic disease. Right common iliac aneurysm, measuring 3.2 x 3.8 cm. Moderate stenosis right common femoral artery. Fat-containing umbilical hernia. Left sigmoid colon containing indirect inguinal hernia medially displacing the left inferior epigastric artery. Left pelvic sidewall lymphocele, with peripheral calcifications. Asymmetric atrophy of the right gluteal muscles. Multilevel degenerative changes of the visualised spine with mild retrolisthesis of L2 on L3 and anterolisthesis of L5 on S1.
Case Discussion
A beautiful example of an indirect inguinal hernia displacing the inferior epigastric artery medially. Direct hernias will displace the vessel laterally.
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