Bowel-GI - Inguinal Hernia with Bowel and Bladder Involvement
Caption
This patient presented with acute onset, severe groin pain. On physical exam, a large inguinal hernia was appreciated, and the scrotum was enlarged, erythematous, and exquisitely tender to palpation. POCUS exam was performed and there were multiple bowel loops with active peristalsis and a large anechoic fluid collection. CT imaging confirmed this fluid to be a herniated portion of the bladder, which likely provided a good acoustic window for clear visualisation of the bowel loops. Catherine Barrington MD, MSc, PGY1 Emergency Medicine, CMU; Andrew Namespetra MB BCh BAO, MSc, PGY3 Emergency Medicine, CMU