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.
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