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March 2006
By Theodore E. Keats, MD
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PROBLEM
A 90-year-old man complains of abdominal distension and left groin pain. What is your impression of this film of his pelvis?
CLICK HERE FOR ANSWER
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ANSWER
The diagnosis is incarcerated left inguinal hernia, evidenced by the gas collection visible near the left ischiopubic junction. The
patient’s abdominal distension probably indicated early small bowel obstruction.
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This series of diagnostic quizzes that
challenge your ability to read a variety of x-ray films is
edited by Dr. Keats, alumni professor of radiology at the
University of Virginia School of Medicine in Charlottesville.
Emerg Med 38(3):60, 2006
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