Wk 4, Case 31- Review

Report

TECHNIQUE:
CT of the abdomen and pelvis with intravenous contrast.

COMPARISON: None available.

FINDINGS:

LOWER THORAX: There is minimum dependent atelectasis. There is a very small left pleural effusion.
An NG tube is seen in the stomach. The distal esophagus is dilated and postsurgical changes are noted at the GE junction at the level of the diaphragmatic crus. NG tube is seen terminating in the stomach.

HEPATOBILIARY: No focal hepatic lesions. No biliary ductal
dilatation. Small gallstones are seen in the gallbladder.

SPLEEN: No splenomegaly.

PANCREAS: No focal masses or ductal dilatation.

ADRENALS: No adrenal nodules.

KIDNEYS/URETERS: No hydronephrosis, stones, or solid mass lesions.

PELVIC ORGANS/BLADDER: Foley catheter is seen in the bladder.


PERITONEUM / RETROPERITONEUM: No free air or fluid. Surgical clips are noted in the abdomen.

LYMPH NODES: No lymphadenopathy.

VESSELS: Atherosclerotic disease is noted.

GI TRACT: There are multiple dilated loops of small bowel with air-fluid levels and transition point at the distal small bowel where there is a right femoral hernia with an incarcerated single loop of small bowel.

BONES AND SOFT TISSUES: Degenerative changes without suspicious lytic or blastic lesions.

IMPRESSION:
Right femoral hernia with incarcerated single loop of distal small bowel and small bowel obstruction proximal to this loop.