PMC5723352_01
Ultrasonic scan of 54-year-old male patient with trauma to right inguinal area. Scan of abdomen shows right inguinal hernia with free intraperitoneal fluid.
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Even though physical examination found only a tender partially reducible right inguinal hernia and the ultrasound showed a right inguinal hernia, free abdominal fluid (Fig 1)which could not specify the cause, a diagnosis of a right incarcerated inguinal hernia with a likely ruptured viscus could be made, and there was an indication for the patient to be hospitalized for treatment.
Histological section of the perforated ileal segment. H & E, x100.showing chronic inflammation of the mucosa with erosion,bleeding and infiltration of lymphocytes and neutrophils.
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After surgery, the patient made a smoothly recovery and was discharged after 30 days in hospital, and post-operative histology showed chronic inflammatin of the excised intestinal segment(Fig 2).