Presentation
Abdominal pain, abdominal distention, and vomiting.
Patient Data
Findings: Small right femoral hernia containing a small bowel loop (proximal ileum). Moderately dilated stomach and jejunum with a large amount of fluid and air-fluid levels within the dilated bowel loops and a zone of transition within the right femoral hernia. Mild to moderate ascites. A few sections through the lower chest show mild left pleural effusion with changes of partial collapse/consolidation of the left lower lobe. Conclusion: Acute small bowel obstruction due to strangulated right femoral hernia.
Case Discussion
The patient underwent surgery for the strangulated right femoral hernia. 3 cm long ileal loop was resected from the hernia with primary re-anastomosis of the small bowel.
Pathological analysis of the resected bowel showed gangrene.
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