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Case of the Week 20 2018

*66-year-old male with vomiting and abdominal pain.

What is the most likely diagnosis?

Answer

Answer: Inguinal hernia

Case Discussion:

CT images demonstrate the dilated bowel loop with herniated bowel in the left inguinal region with obstruction.

It is the commonest type of abdominal wall herniation (up to 80%) and are most often acquired.

Complications: incarceration, strangulation, bowel obstruction

References:
1. Suzuki S, Furui S, Okinaga K et-al. Differentiation of femoral versus inguinal hernia: CT findings. AJR Am J Roentgenol. 2007;189 (2): W78-83