Case 341

 An eighty-three-year-old male presented with tense pain after urination. He had received surgical repair for right inguinal hernia and appendectomy in the past. This time, he was diagnosed with left inguinal hernia in a local hospital. He expected speedy surgical repair because of pain. He experienced severe pain after urination immediately before taking CT (Figs. 1, 2). When a radiation technologist tried to scan CT in prone position because the reference surgeon expected to take CT in prone position to detect inguinal hernia, he experienced severe pain, making a loud voice for painful abdomen. Then, the patient changed into supine position, dramatically inducing him experience pain relief.

What is imaging diagnosis on CT?

1.　Strangulation ileus

2.　Adhesive ileus

3.　Ureter stone

4.　Urinary bladder leakage

answer

2024.6.21