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Incarcerated right paraumbilical hernia

Case contributed by Anil Kumar Geetha Virupakshappa
Diagnosis certain

Presentation

The patient presented with painful enlargement of right abdominal wall lump and failure to pass feces or flatus for 4 days.

Patient Data

Age: 70 years
Gender: Male

There is evidence of incarcerated right paraumbilical hernia containing transverse colon, with inflammation of hernial fat and obstructive dilatation of colon proximal to it. However, the herniated bowel loop shows normal contrast enhancement. Hernia defect measures 2.7 x 2.7 cm. Dilated cecum measures up to 10 cm diameter. No perforation. No dilatation of small bowel loops.

Case Discussion

The patient underwent operative reduction of the same successfully and was relieved of his signs and symptoms.

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