Case Contest Answer: Strangulated Small Bowel d/t Hernia!

The posted case is a great example of a large hernia causing strangulation of small bowel (ischemia). Answers are posted here including the findings: https://www.pacsbin.com/c/Zy71Y8Y99c

Unfortunately, nobody got the case fully correct! Many mentioned the hernia, but nobody correctly identified the findings of ischemia that require urgent OR! This is an important pearl related to a commonly missed finding. Stay tuned for the next one!