Publicação
Stomach Herniation Through an Inguinal Hernia: A Rare Case
| Resumo: | Abstract Gastric obstruction in the setting of an inguinal hernia is extremely rare. However, this entity entails a high morbimortality and, therefore, should be easily recognized by the radiologist, allowing a prompt treatment. This article describes a 70-year-old man, with a history of intense and generalized abdominal pain, vomiting and constipation. On physical examination a voluminous inguinoscrotal hernia and a flat, non-compressible and tender abdomen, were identified. In this context, a tangential abdominal radiography was performed and a gas level on the non-dependent portion of the abdomen was identified, that raised the suspicion of pneumoperitoneum. A CT was obtained and a right-sided, voluminous inguinoscrotal hernia was observed. This hernia contained intestinal loops and the markedly distended stomach. |
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| Autores principais: | Dias,Marta Vaz |
| Outros Autores: | Gomes,Helena Martins; Monteiro,João Rodrigues; Silva,Beatriz Marques; Gonçalves,Catarina do Vale; Cardoso,Daniel |
| Assunto: | Inguinal hernia Stomach Gastric outlet obstruction CT. |
| Ano: | 2024 |
| País: | Portugal |
| Tipo de documento: | relatório |
| Tipo de acesso: | acesso aberto |
| Instituição associada: | Fundação para a Ciência e Tecnologia |
| Idioma: | inglês |
| Origem: | SciELO Portugal |
| Resumo: | Abstract Gastric obstruction in the setting of an inguinal hernia is extremely rare. However, this entity entails a high morbimortality and, therefore, should be easily recognized by the radiologist, allowing a prompt treatment. This article describes a 70-year-old man, with a history of intense and generalized abdominal pain, vomiting and constipation. On physical examination a voluminous inguinoscrotal hernia and a flat, non-compressible and tender abdomen, were identified. In this context, a tangential abdominal radiography was performed and a gas level on the non-dependent portion of the abdomen was identified, that raised the suspicion of pneumoperitoneum. A CT was obtained and a right-sided, voluminous inguinoscrotal hernia was observed. This hernia contained intestinal loops and the markedly distended stomach. |
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