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Sciatic hernia with incarcerated ileum: CT and radiographic diagnosis
1Department of Diagnostic Radiology, Evanston Hospital-McGaw Medical Center, Northwestern University, Illinois.
Gastrointestinal Radiology
|January 1, 1991
Summary
A rare case of sciatic hernia was diagnosed in an elderly woman presenting with abdominal pain and radiating back pain. Imaging revealed an ileal loop herniating through the greater sciatic foramen, highlighting this uncommon condition.
Area of Science:
- Gastroenterology
- Anatomy
- Radiology
Background:
- Sciatic hernias are rare abdominal wall defects.
- They can present with atypical symptoms, mimicking other conditions.
- Diagnosis often requires advanced imaging techniques.
Observation:
- An elderly female patient experienced postprandial right lower abdominal cramps.
- Recurrent low back pain radiating to the right thigh was also noted.
- Clinical presentation suggested a potential sciatic hernia.
Findings:
- Computed tomography (CT) of the pelvis was performed.
- Barium enema with small bowel reflux confirmed the diagnosis.
- An ileal loop herniation through the right greater sciatic foramen was identified.
Implications:
- This case underscores the importance of considering rare diagnoses like sciatic hernia in patients with unusual pain patterns.
- Accurate diagnosis through imaging is crucial for appropriate management.
- Reviewing previous literature aids in understanding and managing sciatic hernias.