Woman 78 yo, cesarian operation for 50 years, with, 2 days ago, pain at left umbilical area and everytime coughing, a swollen mass appearing at the painful site.
Ultrasound of this mass:
US 1= longitudinal scan at pelvis near umbilicus, detected one subcutaneous mass.
US 2 = left lateral scanning of middle line, shows the tearing site of rectus muscle and a hernia goes out from it.
US 3 = linear scanning of this mass that was builded by great omentum and fluid.
US 4 = thickening of the bowel wall.
Emergency abdomen CT scanning:
CT 1: crossed section of this mass
CT 2 : sagittal scanning of this mass
CT 3: frontal section.
Emergency operation by ventral hernia with past history of cesarian operation
detected omentum and one bowel loop in ischemia but not necrosis yet.
Repaired this hernia by a mesh prosthesis. And timing is about in 4 hours from diagnostic to operation.