History of recurrent umbilical swelling. Complaining of local pain for the last one day.
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There is an umbilical hernia containing a small bowel loop and peritoneal anechoic fluid. The defect size is about 31 x 31 mm. The pulse wave Doppler of the herniated bowel loop shows a high resistance flow with the preserved diastolic flow. There are dilated proximal bowel loops with the presence of mild ascites.
Local probe compression resulted in the hernia reduction. There is reduced flow resistance in the affected bowel loop after the hernia reduction.
The case shows the effect of the hernia on the herniated bowel loop blood flow.