Imaging Case of the Week 186 Answer

The abdominal x-ray exhibits a distended stomach, as well as dilated small bowel loops in the mid- and left-upper abdomen.

In addition to the above findings, there is also an area of gas overlying the right inguinal region, with the possibility of a right obstructed inguinal hernia.

right inguinal hernia

The infant underwent an ultrasound scan of the abdomen, which revealed a normal pylorus, and confirmed the presence of a right inguinal hernia containing bowel loop with no upstream bowel obstruction.

The patient was admitted to the hospital and observed with gradual improvement in symptoms.

Make sure to have a look at the hernial orifices on the abdominal x-ray obtained to rule out an intestinal obstruction.

 

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