Related Experiment Video
Updated: May 21, 2026

Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
Incarcerated umbilical hernia leading to small bowel ischemia
1Department of Emergency Services, VA New York Harbor Healthcare Center, New York, United States. nancy.lutwak@gmail.com
Abstract:
A 59-year-old male with history of hepatitis C, refractory ascites requiring multiple paracentesis and transjugular intrahepatic portosystemic shunt placement presented to the emergency department with 2 days of abdominal pain. Physical examination revealed blood pressure of 104/66 and pulse of 94. The abdomen was remarkable for distention and a tender incarcerated umbilical hernia. The skin overlying the hernia was pale with areas of necrosis. The patient immediately underwent laparotomy which was successful.
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