PMC9848049_01
Abdominal CT axial (a) and coronal slices (b) demonstrating a 25 mm defect in the anterior abdominal wall lateral to rectus abdominis in the right lower quadrant containing caecum with adjacent small locules of extraluminal gas as well as a right-sided retroperitoneal haematoma.
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A computed tomography (CT) trauma series scan of his abdomen (Fig. 1) revealed an acute traumatic spigelian hernia through a 25 mm defect containing his caecum as well as caecal bruising and free fluid in the right paracolic gutter.
Abdominal CT coronal slice demonstrating a right-sided retroperitoneal haematoma with gas locules tracking up towards the right adrenal.
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He was also found to have an estimated 500 mL retroperitoneal haematoma anterior to the right psoas with overlying gas (Fig. 2).