Discussion in 'Spot Diagnosis' started by J.P.C. Peper, Jun 20, 2012.
What's your diagnosis?
I'll post the correct answer in about three days!
bowel obsruction due to inguinal hernie .
The presence of air in the abdominal wall is most commonly a result of a bowel perforation. It can be caused by e.g. necrotisizing enterocolitis or erosion due to a duodenal ulcer. Another finding could be the 'wooden belly symptom'; the abdomen then feels quite rigid.
Yes, I believe air in the intestinal wall often indicates a perforation as well; at least in a necrotic bowel (with high risk of perforation) there are air bubbles in the intestinal wall.
As I understand it, air in the abdominal cavity or abdominal wall is also often due to a perforation.
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