case_images: PMC9848049_01
case_images: Abdominal CT axial (a) and coronal slices (b) demonstrating a 25 mm defect in the anterior abdominal wall lateral to rectus abdominis in the right lower quadrant containing caecum with adjacent small locules of extraluminal gas as well as a right-sided retroperitoneal haematoma.
case_images: rjad003f1.jpg
case_images: PMC9848049_01_rjad003f1.jpg
case_images: f1
case_images: A computed tomography (CT) trauma series scan of his abdomen (Fig. 1) revealed an acute traumatic spigelian hernia through a 25 mm defect containing his caecum as well as caecal bruising and free fluid in the right paracolic gutter.
case_images: Abdominal CT coronal slice demonstrating a right-sided retroperitoneal haematoma with gas locules tracking up towards the right adrenal.
case_images: rjad003f2.jpg
case_images: PMC9848049_01_rjad003f2.jpg
case_images: f2
case_images: He was also found to have an estimated 500 mL retroperitoneal haematoma anterior to the right psoas with overlying gas (Fig. 2).