PMC3283013_01
Computed tomography (CT) scan: a high-grade distal small bowel obstruction with a transitional zone in the left lower abdomen
PAMJ-11-17-g001.jpg
PMC3283013_01_PAMJ-11-17-g001.jpg
F0001
The hernia sac was situated behind the left lower abdominal wall above the urinary bladder and passed downward into the prevesical space compressing the anterior bladder wall (Figure 1).
Operative view: defect in the pre-vesical fascia (arrow)
PAMJ-11-17-g002.jpg
PMC3283013_01_PAMJ-11-17-g002.jpg
F0002
Digital exploration of defect after reduction of incarcerated bowel, revealed the sac to run medially and inferiorly to depress the wall of the bladder (Figure 2).
PMC3283013_02
Scout film of the abdomen: multiple dilated loops of small intestine with air-fluid levels
PAMJ-11-17-g003.jpg
PMC3283013_02_PAMJ-11-17-g003.jpg
F0003
A scout film of the abdomen showed multiple dilated loops of small intestine with air-fluid levels (Figure 3).