CLINICAL CASE

A 64 years old man with acute abdominal pain and palpable mass in the left lower quadrant.

A complex mass in the anterolateral wall of the left lower abdomen quadrant showing an echogenic component resulting from omental eriation in continuity with the abdominal cavity . On Colour Doppler study , no flow is seen in the mass. The lesion appears surrounded by a fluid collection

PRESENTAZIONE DEL CASO

A 64 years old man with acute abdominal pain and palpable mass in the left lower quadrant


CT FINDINGS: Unenhanced and contrast enhanced TC clearly identifies a mass protruding from the abdomen trough a defect in the aponeuorosis of the anterior wall, just distal to the lateral border of the left rectus abdominis muscle. The hernia sac is “intermuscolar” located deep to external oblique aponeurosis, between external oblique and internal oblique muscles. The hernia sac contains omentum and fat and showed increased attenuation of the normal fat tissue with fuzzy irregular borders, surrounded by a thin layer of free fluid.