Bowel-GI - Strangulated Inguinal Hernia
Caption
60 year old male presents with pelvic and scrotal pain with vomiting x 1 hour. Physical exam significant for an edematous, erythematous, tender scrotum. Bedside ultrasonography revealed bowel peristalsis and marked scrotal edema (anechoic stripe) visible throughout the scrotum with several loops of bowel within the scrotum. IV established for analgesia and nausea control, and general surgery was consulted. The surgeon requested a CT even though there was good certainty of a strangulated hernia, for operative planning purposes. Patient went to the OR the same day and made full recovery. Pieter Ver Steeg, PA-C