Thursday, February 23, 2023

A pretty large lump in the umbilicus

A male patient with a 3.5 cms size lump in the umbilical region. 
Ultrasound revealed these images:
Image below shows umbilical hernia with bowel and mesenteric fat.
Panoramic view, below:
Thin fragile fibrinous strands present in the fluid-filled umbilical hernia. 
Fibrinous strands, fluid and bowel with mesenteric fat in hernial sac.
It doesn't look like a strangulated hernia, as power Doppler ultrasound shows vessels within the mesenteric fat and bowel loops. 

Final diagnosis: umbilical hernia with fluid and bowel and mesenteric fat contents. No evidence of strangulation. 
What is umbilical hernia and it's sonographic findings?
Umbilical hernias are a common condition in both adults and children. Ultrasound is often used to diagnose and evaluate them. The key ultrasound findings of an umbilical hernia include a bulge protruding from the umbilical ring and bowel loops visible within the hernia sac. Timely diagnosis and management can prevent complications.
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