IMPORTANT: We currently have a number of bugs related to image cropping and are actively trying to resolve them. In the meantime, we have disabled cropping. Apologies for any inconvenience. Stay informed: radiopaedia.org/chat

Incisional hernia

Case contributed by Sandeep Singh Awal
Diagnosis certain

Presentation

Status post longitudinal midline incision for classical cesarian section, presented with pelvic pain and visible lump on coughing

Patient Data

Age: 40 years
Gender: Female
ultrasound

1.6cm infraumbilical midline defect in the pelvic region at the site of previous incisional scar showing herniation of bowel loops and omental fat on cough impulse. Contents were reducible. Vascularity of bowel walls was maintained.

Annotated image

Arrows denote the anterior abdominal wall defect at the site of prior incision indicating the site of incisional hernia.

ultrasound

Ultrasound cine clip demonstrates the incisional hernia.

Case Discussion

Incisional hernias are the most common type of anterior abdominal wall hernia, owing to the frequency with which abdominal surgical procedures are performed.

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.