TY  - JOUR
T1  - IMage of the month—quiz case
AU  - Sicklick JK, Weiss CR, Ahuja N
Y1  - 2007/02/01
N1  - 10.1001/archsurg.142.2.199
JO  - Archives of Surgery
SP  - 199
EP  - 199
VL  - 142
IS  - 2
N2  - 
On physical examination he was afebrile but orthostatic. His abdomen was distended with moderate tenderness to palpation in the bilateral lower quadrants. The patient had no evidence of peritoneal signs. Examination of his right groin showed a large incarcerated hernia. Rectal examination demonstrated acholic, heme-negative stool. Laboratory results were consistent with dehydration. A chest radiograph revealed no pneumoperitoneum. Abdominal radiographs were obtained (Figure 1). The patient was resuscitated and subsequently underwent exploratory laparotomy and right groin exploration without bowel preparation. The gross pathologic specimen is shown in Figure 2.

SN  - 0004-0010
M3  - doi: 10.1001/archsurg.142.2.199
UR  - http://dx.doi.org/10.1001/archsurg.142.2.199
ER  -