Bowel-GI - Direct Inguinal Hernia
Caption
An elderly female presented to the emergency department with left groin pain that had been intermittent for 6 months. At time of initial evaluation, she noted a “bump” in the left groin. On examination with POCUS, the inguinal canal was evaluated and revealed a direct left inguinal hernia. As the patient performs a Valsalva maneuver, bowel is seen moving into the canal. Upon release of Valsalva, the bowel reduces spontaneously. Daniel Coffey, Emergency Medicine PGY-2; Jocelyn Garcia MS-3 Central Michigan University College of Medicine