Ventral abdominal hernia

Case contributed by Dr Varun Babu

Presentation

Anterior abdominal swelling that increases in size on coughing, prolonged standing, subsides on lying down.

Patient Data

Age: 35 years
Gender: Female
CT

3 cm below the umbilicus is a 3.9 x 5.2 cm wide anterior abdominal wall defect resulting in a 12 x 9.6 cm subcutaneous hernial sac. Sac contains ileal loops, mesentery, and omentum. No bowel incarceration. 

Case Discussion

Typical features of a ventral hernia containing small bowel loops. 

Important to identify if there is any bowel incarceration. 

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