Ventral abdominal hernia
Anterior abdominal swelling that increases in size on coughing, prolonged standing, subsides on lying down.
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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.
Typical features of a ventral hernia containing small bowel loops.
Important to identify if there is any bowel incarceration.