case_images: PMC2626576_01
case_images: Plain abdominal x-ray. Distended small bowel loops consistent with small bowel obstruction.
case_images: 1757-1626-2-21-1.jpg
case_images: PMC2626576_01_1757-1626-2-21-1.jpg
case_images: F1
case_images: Potassium 4.0 mmol/L, Sodium 135 mmol/L, C - Reactive protein 67 mg/l. Plain abdominal x-ray showed multiple loops of distended small bowel seen centrally in the abdomen consistent with distal small bowel obstruction. (Figure 1) He was taken to the operation theatre urgently with a diagnosis of strangulated inguinal hernia and the right inguinal region was explored under general anaesthesia.
case_images: Intra-operative photograph. Gangrenous small bowel with closed loop obstruction caused by an omental band adhesion.
case_images: 1757-1626-2-21-2.jpg
case_images: PMC2626576_01_1757-1626-2-21-2.jpg
case_images: F2