EURORAD ESR

Case 14878

Richter-type spigelian hernia

Author(s)
Juan-José Delgado-Moraleda, Salvador Alandete-Germán, Nerses Nersesyan, Carmen Ballester-Vallés, José Adolfo Flores-Méndez, Juan-José Pomares Pomares.

Valencia, Spain;
Email:juandelgadomoraleda@gmail.com
 
Patient
female, 83 year(s)
 
 
  • Figure 1
    Abdominal X-ray

    Distended small bowel loops are observed. Distal aeration is present, existing air bubbles in the rectum.

     
    Area of Interest: Abdomen; Abdominal wall; Anatomy; Imaging Technique: Conventional radiography; CT; CT-High Resolution; Procedure: Contrast agent-intravenous; Special Focus: Acute; Hernia;
     
     
  • Figure 2
    Abdominal CT (transversal)
     

    Antimesenteric side of the ileum was herniated through a defect in the abdominal wall located in the inferior third of the left semilunar line. Herniated ileum showed wall oedema and surrounding free fluid.

     
    Area of Interest: Abdomen; Abdominal wall; Anatomy; Imaging Technique: Conventional radiography; CT; Procedure: Contrast agent-intravenous; Special Focus: Acute; Hernia;

    Antimesenteric side of the ileum was herniated through a defect in the abdominal wall located in the inferior third of the left semilunar line. Herniated ileum showed wall oedema and surrounding free fluid.

     
    Area of Interest: Abdomen; Abdominal wall; Anatomy; Imaging Technique: Conventional radiography; CT; Procedure: Contrast agent-intravenous; Special Focus: Acute; Hernia;

    Antimesenteric side of the ileum was herniated through a defect in the abdominal wall located in the inferior third of the left semilunar line. Herniated ileum showed wall oedema and surrounding free fluid.

     
    Area of Interest: Abdomen; Abdominal wall; Anatomy; Imaging Technique: Conventional radiography; CT; Procedure: Contrast agent-intravenous; Special Focus: Acute; Hernia;

    Antimesenteric side of the ileum was herniated through a defect in the abdominal wall located in the inferior third of the left semilunar line. Herniated ileum showed wall oedema and surrounding free fluid.

     
    Area of Interest: Abdomen; Abdominal wall; Anatomy; Imaging Technique: Conventional radiography; CT; Procedure: Contrast agent-intravenous; Special Focus: Acute; Hernia;
     
     
  • Figure 3
    Abdominal CT (coronal)
     

    Antimesenteric side of the ileum was herniated through a defect in the abdominal wall located in the inferior third of the left semilunar line. Herniated ileum showed wall oedema and surrounding free fluid.

     
    Area of Interest: Abdomen; Abdominal wall; Anatomy; Imaging Technique: Conventional radiography; CT; Procedure: Contrast agent-intravenous; Special Focus: Acute; Hernia;

    Antimesenteric side of the ileum was herniated through a defect in the abdominal wall located in the inferior third of the left semilunar line. Herniated ileum showed wall oedema and surrounding free fluid.

     
    Area of Interest: Abdomen; Abdominal wall; Anatomy; Imaging Technique: Conventional radiography; CT; Procedure: Contrast agent-intravenous; Special Focus: Acute; Hernia;

    Antimesenteric side of the ileum was herniated through a defect in the abdominal wall located in the inferior third of the left semilunar line. Herniated ileum showed wall oedema and surrounding free fluid.

     
    Area of Interest: Abdomen; Abdominal wall; Anatomy; Imaging Technique: Conventional radiography; CT; Procedure: Contrast agent-intravenous; Special Focus: Acute; Hernia;

    Antimesenteric side of the ileum was herniated through a defect in the abdominal wall located in the inferior third of the left semilunar line. Herniated ileum showed wall oedema and surrounding free fluid.

     
    Area of Interest: Abdomen; Abdominal wall; Anatomy; Imaging Technique: Conventional radiography; CT; Procedure: Contrast agent-intravenous; Special Focus: Acute; Hernia;
     
     
  • Figure 4
    Abdominal CT (sagittal)
     

    Antimesenteric side of the ileum was herniated through a defect in the abdominal wall located in the inferior third of the left semilunar line. Herniated ileum showed wall oedema and surrounding free fluid.

     
    Area of Interest: Abdomen; Abdominal wall; Anatomy; Imaging Technique: Conventional radiography; CT; Procedure: Contrast agent-intravenous; Special Focus: Acute; Hernia;

    Antimesenteric side of the ileum was herniated through a defect in the abdominal wall located in the inferior third of the left semilunar line. Herniated ileum showed wall oedema and surrounding free fluid.

     
    Area of Interest: Abdomen; Abdominal wall; Anatomy; Imaging Technique: Conventional radiography; CT; Procedure: Contrast agent-intravenous; Special Focus: Acute; Hernia;
     
     
Distended small bowel loops are observed. Distal aeration is present, existing air bubbles in the rectum.
 
Antimesenteric side of the ileum was herniated through a defect in the abdominal wall located in the inferior third of the left semilunar line. Herniated ileum showed wall oedema and surrounding free fluid.
 
Antimesenteric side of the ileum was herniated through a defect in the abdominal wall located in the inferior third of the left semilunar line. Herniated ileum showed wall oedema and surrounding free fluid.
 
Antimesenteric side of the ileum was herniated through a defect in the abdominal wall located in the inferior third of the left semilunar line. Herniated ileum showed wall oedema and surrounding free fluid.
 
Antimesenteric side of the ileum was herniated through a defect in the abdominal wall located in the inferior third of the left semilunar line. Herniated ileum showed wall oedema and surrounding free fluid.
 
Antimesenteric side of the ileum was herniated through a defect in the abdominal wall located in the inferior third of the left semilunar line. Herniated ileum showed wall oedema and surrounding free fluid.
 
Antimesenteric side of the ileum was herniated through a defect in the abdominal wall located in the inferior third of the left semilunar line. Herniated ileum showed wall oedema and surrounding free fluid.
 
Antimesenteric side of the ileum was herniated through a defect in the abdominal wall located in the inferior third of the left semilunar line. Herniated ileum showed wall oedema and surrounding free fluid.
 
Antimesenteric side of the ileum was herniated through a defect in the abdominal wall located in the inferior third of the left semilunar line. Herniated ileum showed wall oedema and surrounding free fluid.
 
Antimesenteric side of the ileum was herniated through a defect in the abdominal wall located in the inferior third of the left semilunar line. Herniated ileum showed wall oedema and surrounding free fluid.
 
Antimesenteric side of the ileum was herniated through a defect in the abdominal wall located in the inferior third of the left semilunar line. Herniated ileum showed wall oedema and surrounding free fluid.
 
 
 
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