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Abdomen » Peritoneal Cavity
Obstructed anterior abdominal wall hernia
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Author(s) :
Ravi Kadasne, MD
Presentation A 50 year old woman presented to the ER with severe abdominal pain and vomiting. An ultrasound was performed.
Caption: Sagittal scan in mid abdomen
Description: A significantly dilated fluid-filled bowel loop is seen in the mid-abdomen.
Caption: Transverse section in mid abdomen
Description: Multiple fluid distended bowel loops are seen in this image.
Caption: Transverse view near the umbilical region
Description: A defect is seen in the peritoneal layers of the anterior abdominal wall. A fluid filled bowel loop is seen herniating into that defect and was not reducible.
Caption: Sagittal view near the umbilical region
Description: The defect in the abdominal wall layers as marked by the arrows is well demonstrated in this image. The obstructed loop of bowel is also well demonstrated.
Caption: Axial CT scan
Description: The defect in the anterior abdominal wall is well depicted here with the bowel loop seen entering the defect.
Caption: Axial CT scan of the abdomen
Description: The obstructed bowel loop is seen again here, herniating through the defect.
Differential Diagnosis Obstructed anterior abdominal wall hernia
Final Diagnosis Obstructed anterior abdominal wall hernia
Follow Up The CT scans were confirmatory and the patient was operated upon. She is currently doing well.