PMC5602829_01
Preoperative abdominal X-ray image showing mildly dilated small intestine with niveau formation.
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Abdominal radiography showed mildly dilated small intestines with a niveau (Fig. 1).
Preoperative plain CT image..  : Suppression of the bladder by small bowel near the left internal inguinal ring.
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Plain abdominal CT revealed that the bladder was being suppressed by small bowel near the left internal inguinal ring (Fig. 2).
Preoperative plain CT image..  : A part of the small bowel wall seemed to be inlaid.
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A part of the small bowel wall seemed to be inlaid, and so we diagnosed the patient with a strangulated left inguinal hernia (Fig. 3).
Schematic drawing of the operation.. After incision of the hernial sac, the necrotic small intestine was visible..  : strangulation of small intestine..  : pubis.. *: spermatic cord.
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After incising the hernial sac, we resected the small bowel via the hernial orifice, resected the hernial sac, and closed the hernial orifice (Fig. 4).