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An abdominal ultrasound revealed subcutaneous, peristalsing bowel loops consistent with a ventral hernia. A small amount of ascites was also found.
Four years earlier, this patient had had a prolonged hospitalization for severe cor pulmonale, during which he suffered a perforated cecum. He had multiple abdominal surgeries, including a right hemicolectomy. His postop course was complicated by multisystem organ failure and several nosocomial infections.
Treatment of a ventral hernia involves either an open or laparoscopic surgical correction, often with the placement of a supportive mesh. Repair of epigastric hernias is crucial even in asymptomatic patients due to the high rate of bowel incarceration.
This patient was referred to a hernia specialty clinic at a nationally recognized medical center.
Adapted from: Murdoch W, Morris PA. Photo Rounds: Irregularly shaped abdominal mass. J Fam Pract. 2011;60:227-228.
To learn more about The Color Atlas of Family Medicine, see:
• http://www.amazon.com/Color-Atlas-Family-Medicine/dp/0071474641
You can now get The Color Atlas of Family Medicine as an app for mobile devices including the iPhone and iPad by clicking this link:
An abdominal ultrasound revealed subcutaneous, peristalsing bowel loops consistent with a ventral hernia. A small amount of ascites was also found.
Four years earlier, this patient had had a prolonged hospitalization for severe cor pulmonale, during which he suffered a perforated cecum. He had multiple abdominal surgeries, including a right hemicolectomy. His postop course was complicated by multisystem organ failure and several nosocomial infections.
Treatment of a ventral hernia involves either an open or laparoscopic surgical correction, often with the placement of a supportive mesh. Repair of epigastric hernias is crucial even in asymptomatic patients due to the high rate of bowel incarceration.
This patient was referred to a hernia specialty clinic at a nationally recognized medical center.
Adapted from: Murdoch W, Morris PA. Photo Rounds: Irregularly shaped abdominal mass. J Fam Pract. 2011;60:227-228.
To learn more about The Color Atlas of Family Medicine, see:
• http://www.amazon.com/Color-Atlas-Family-Medicine/dp/0071474641
You can now get The Color Atlas of Family Medicine as an app for mobile devices including the iPhone and iPad by clicking this link:
An abdominal ultrasound revealed subcutaneous, peristalsing bowel loops consistent with a ventral hernia. A small amount of ascites was also found.
Four years earlier, this patient had had a prolonged hospitalization for severe cor pulmonale, during which he suffered a perforated cecum. He had multiple abdominal surgeries, including a right hemicolectomy. His postop course was complicated by multisystem organ failure and several nosocomial infections.
Treatment of a ventral hernia involves either an open or laparoscopic surgical correction, often with the placement of a supportive mesh. Repair of epigastric hernias is crucial even in asymptomatic patients due to the high rate of bowel incarceration.
This patient was referred to a hernia specialty clinic at a nationally recognized medical center.
Adapted from: Murdoch W, Morris PA. Photo Rounds: Irregularly shaped abdominal mass. J Fam Pract. 2011;60:227-228.
To learn more about The Color Atlas of Family Medicine, see:
• http://www.amazon.com/Color-Atlas-Family-Medicine/dp/0071474641
You can now get The Color Atlas of Family Medicine as an app for mobile devices including the iPhone and iPad by clicking this link: