PMC4276255_01
Contrast-enhanced computed tomography scan shows traumatic ventral herniation of small bowel, cecum, and mesentery through the anterolateral abdominal wall. The cecum is partially included in the hernia sac, while the terminal ileum (solid arrow) and appendix (dashed arrow) remain intra-abdominal (E, external oblique; I, internal oblique; T, transversus abdominis).
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A computed tomography (CT) scan with intravenous contrast was performed and revealed a large herniation of bowel through the right lower quadrant (Fig. 1) and a suspected pseudoaneurysm of the abdominal aorta.
(A) Computed tomography angiogram (CTA) shows the bowel herniation and the abdominal aortic pseudoaneurysm (arrowhead). (B) 3D volume rendering of this CTA reveals the post-operative open abdomen (S, skin; E, external oblique; R, rectus abdominis; H, hernia sac).
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In this post-operative interval, a CT angiogram confirmed the abdominal aortic pseudoaneurysm (Fig. 2).