Presentation
Vomiting and abdominal distension.
Patient Data
Small bowel obstruction secondary to a right inguinal region hernia. The hernia sac contains obstructed small bowel as well as the cecal pole as well as a small volume of free fluid. The right colon is inferiorly displaced. Small bowel mesenteric fat stranding and free fluid. No free intraperitoneal gas.
Focal fatty infiltration adjacent to ligamentum teres. Simple renal cortical cysts. Remaining solid organs are unremarkable. Bibasal atelectasis.
Case Discussion
By the time the patient proceeded to the theater, the hernia had spontaneously reduced. An inguinal hernia repair was performed.