Incarcerated paraumbilical hernia

Case contributed by Dr Ian Bickle

Presentation

Obese female. One day history of central abdominal pain. Clinicians suggests a mass. Cause?

Patient Data

Age: 50 years
Gender: Female
Ultrasound

Well defined small mass protruding through the anterior abdominal wall.  The mass is tender to probe palpation.

On inspection peristalsis is present with a lumen containing fluid and semi-solid material.

A small loop of mid jejunum protrudes through a narrow defect in the anterior abdominal wall just superior to the umbilicus.  A small amount of perienteric inflammatory change. Marked caliber change in the jejunum at the entrance through the hernia neck.   The proximal small bowel is moderately dilated and fluid filled.

No free gas or free fluid.

Fibroid uterus.

Case Discussion

Not the typical general practitioner abdominal ultrasound scan. Despite the patients high BMI the small bowel was well visualized protruding through the anterior abdominal wall.

The paraumbilical hernia was manually reduced on the ward.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.