Incarcerated inguinal hernia with bowel perforation
25% of men and 2% of women develop inguinalhernias in their lifetime. The more commonly reported complications of unrepaired inguinal hernias include incarceration and strangulation of intestinal structures that are trapped in the hernial sac.
Intestinal loops trapped inside a hernia are susceptible to perforation. On CT, bowel perforation is suspected with the presence of free intraperitonealair or free fluid, as is demonstrated in this case.
CT findings of intestinal incarceration or strangulation with perforation may include: