PMC4269088_01
X-ray standing abdomen showing dilated small bowel loops in lower abdomen and pelvis.
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X-ray standing abdomen (Figure 1) revealed dilated small bowel loops in mid and lower abdomen with no pneumoperitoneum.
Plain CT scan of lower abdomen and pelvis showing dilated small bowel loops in abdomen and pelvis.
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Small bowel loops in abdomen and pelvis appeared fluid-filled and dilated of caliber 3-3.5 cms (Figures 2(a) and 2(b)).
CT scan of lower pelvis and inguinal region showing herniation of small bowel loop through left obturator canal extending between pectineus and obturator internus muscles.
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There was herniation of a bowel loop of length 3.5 cm through left obturator foramen extending inferiorly between pectineus muscle anteriorly and obturator externus muscle posteriorly, suggestive of obturator hernia (Figures 3, 4(a), and 4(b)).
(a) Plain CT scan of inguinal and upper thigh region showing herniated small bowel loop in left obturator canal between pectineus and obturator externus muscles and herniation of mesentery in right obturator canal. (b) Coronal reformatted image at level of obturator canal showing herniated small bowel loop in left obturator canal and herniation of mesentery in right obturator canal.
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There was herniation of a bowel loop of length 3.5 cm through left obturator foramen extending inferiorly between pectineus muscle anteriorly and obturator externus muscle posteriorly, suggestive of obturator hernia (Figures 3, 4(a), and 4(b)). Herniated omentum/mesentery was seen to lie in between the pectineus muscle anteriorly and obturator externus muscle posteriorly (Figures 4(a) and 4(b)).