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Case 16: Intermittent abdominal pain and a lump

A 56 year old man has had several abdominal operations in the past. He presents complaining of a discomfort associated with a small lump which has developed in the midline wound near the umbilicus.

Frontal View

Incisional hernia

Lateral View with patient lifting head off the pillow

Incisional hernia lateral view

1. What is the likely diagnosis (shown at "C")?

2. What operation do you think was performed through the right upper quadrant scar? Marked "A" (He says he cant remember what the operation was only that it was performed when he was a baby.)

3. With the patient lifting his head off the bed, what is marked by "B"?