PMC2626576_01
Plain abdominal x-ray. Distended small bowel loops consistent with small bowel obstruction.
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PMC2626576_01_1757-1626-2-21-1.jpg
F1
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.
Intra-operative photograph. Gangrenous small bowel with closed loop obstruction caused by an omental band adhesion.
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PMC2626576_01_1757-1626-2-21-2.jpg
F2