Question

A week later, he develops vomiting and abdominal pain with a soft mass palpable at the surgical site. An incisional hernia, or protrusion of bowel content through a poorly healed incision site, can be a complication after abdominal surgery. Typical Hernia Hernia Skin Muscle Fat Intestine Incisional hernias can compress bowel contents and cause an obstruction of the digestive tract causing bowel content to back-up. This would explain the vomiting seen in this patient. Vomiting can be classified by presence of blood (hematemesis) or bile (bilious). Bilious vomiting is caused by obstructions distal to the major duodenal papilla. 4. Consider mobility of retroperitoneal vs. intraperitoneal organs through hernia sites. Which part of the bowel is likely obstructed? A. Duodenum B. Cecum C. Ascending colon D. Ileum E. Stomach 5. Would you expect this patient to have bilious or non-bilious vomiting?

          A week later, he develops vomiting and abdominal pain with a soft mass palpable at the surgical site. An incisional hernia, or protrusion of bowel content through a poorly healed incision site, can be a complication after abdominal surgery.
Typical Hernia
Hernia
Skin
Muscle
Fat
Intestine
Incisional hernias can compress bowel contents and cause an obstruction of the digestive tract causing bowel content to back-up. This would explain the vomiting seen in this patient.
Vomiting can be classified by presence of blood (hematemesis) or bile (bilious). Bilious vomiting is caused by obstructions distal to the major duodenal papilla.
4. Consider mobility of retroperitoneal vs. intraperitoneal organs through hernia sites. Which part of the bowel is likely obstructed?
A. Duodenum B. Cecum C. Ascending colon D. Ileum E. Stomach
5. Would you expect this patient to have bilious or non-bilious vomiting?

A week later, he develops vomiting and abdominal pain with a soft mass palpable at the surgical site. An incisional hernia, or protrusion of bowel content through a poorly healed incision site, can be a complication after abdominal surgery.
Typical Hernia
Hernia
Skin
Muscle
Fat
Intestine
Incisional hernias can compress bowel contents and cause an obstruction of the digestive tract causing bowel content to back-up. This would explain the vomiting seen in this patient.
Vomiting can be classified by presence of blood (hematemesis) or bile (bilious). Bilious vomiting is caused by obstructions distal to the major duodenal papilla.
4. Consider mobility of retroperitoneal vs. intraperitoneal organs through hernia sites. Which part of the bowel is likely obstructed?
A. Duodenum B. Cecum C. Ascending colon D. Ileum E. Stomach
5. Would you expect this patient to have bilious or non-bilious vomiting?

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