Abdominal pain and tender left inguinal swelling

Body Region: Abdomen and Pelvis
Author: Damiano Caruso, Nicola Panvini, Andrea Laghi - Rome, Italy

1. Patient presentation
2. CT Images
3. CT Findings
4. Diagnosis
5. References

1. Patient presentation

  • A 40-year-old woman presented to our emergency department with abdominal pain (especially in the left iliac fossa), nausea and vomiting for 1 day prior to admission.
  • On questioning, she said that, 8 months earlier, she had undergone mini-gastric bypass for obesity.
  • Clinical examination revealed abdominal distension, diminished bowel sounds and a non-reducible, tender lump in the left inguinal region.
  • Contrast-enhanced CT of the abdomen was performed to evaluate the clinical condition.

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