c l i n i c a l f o l i o s : n a r r a t i v e





A D V E R T I S E M E N T

 

Sigmoid in a Femoral Hernia: 1

A D V E R T I S E M E N T

   
 

An 82-year-old man presented with abdominal pain, nausea and vomiting. His abdomen was distended with generalized but not focal tenderness. Abdominal films including the left lateral decubitus shown demonstrated a dilated colon with air down to the distal descending colon. He had a tender 4-cm bulge below the left inguinal ligament medial to the femoral vessels.      

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Sigmoid in a Femoral Hernia: 2

A D V E R T I S E M E N T

   
 

CT scan, obtained in the emergency room prior to surgical consult, shows the markedly dilated colon at the mid-abdominal level.       

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Sigmoid in a Femoral Hernia: 3

A D V E R T I S E M E N T

   
 

At the upper end of the femoral canal the sigmoid can be seen entering the femoral space.       

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This page was last modified on 8/2/2004.