EURORAD ESR

Case 1567

A patient with persistent right groin pain

Author(s)
Rodrigo Salgado, Patrick Bellinck, Tom Mulkens
 
Patient
male, 48 year(s)
 
 
  • Figure 1
    Examination technique

    This image illustrates the initial phase of the examination. The correct positioning of the needle is demonstrated by the immediate spread of the contrast product between the bowel loops.

     
    Area of Interest: unknown; Imaging Technique: Examination technique;
     
     
  • Figure 2
    Initial evaluation of the peritoneogram

    The radiological anatomy is nicely depicted by this technique. The different umbilical folds demarcate on both sides the fossa supravesicalis together with the medial and the lateral inguinal fossa. A peritoneal...

     
    Area of Interest: unknown; Imaging Technique: Initial evaluation of the peritoneogram;
     
     
  • Figure 3
    Indirect inguinal hernia, oblique view

    With further straining, this oblique view demontrates a clear protrusion from the peritoneal cavity, consistent with an inguinal indirect hernia arising from the right lateral inguinal fossa. Note the distal widening...

     
    Area of Interest: unknown; Imaging Technique: Indirect inguinal hernia, oblique view;
     
     
  • Figure 4
    Indirect inguinal hernia, profile view

    The anterior localisation of the hernia is demonstrated on this profile view.

     
    Area of Interest: unknown; Imaging Technique: Indirect inguinal hernia, profile view;
     
     
This image illustrates the initial phase of the examination. The correct positioning of the needle is demonstrated by the immediate spread of the contrast product between the bowel loops.
 
The radiological anatomy is nicely depicted by this technique. The different umbilical folds demarcate on both sides the fossa supravesicalis together with the medial and the lateral inguinal fossa. A peritoneal defect can already be suspected on the right inguinal fossa.
 
With further straining, this oblique view demontrates a clear protrusion from the peritoneal cavity, consistent with an inguinal indirect hernia arising from the right lateral inguinal fossa. Note the distal widening of the herniation at the external inguinal ring.
 
The anterior localisation of the hernia is demonstrated on this profile view.
 
 
 
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