Obstructed indirect inguinal hernia

Case contributed by Keshaw Kumar
Diagnosis certain

Presentation

Pain in the abdomen and constipation.

Patient Data

Age: 65 years
Gender: Male

CECT abdomen and pelvis

ct

A focal defect in the left inguinal region is lateral to the inferior epigastric artery, with herniation of a small bowel loop through it. The proximal small bowel loops are mildly dilated, and the small bowel loops distal to the herniation are collapsed. Bowel wall enhancement appears normal. Minimal fluid is seen in the herniated sac and lower abdomen on the right side.

Case Discussion

Findings are suggestive of obstructed left indirect inguinal hernia with small bowel obstruction and no evidence of bowel wall ischaemia/gangrene.

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