A 35-year-old woman is admitted to the hospital with a mass protruding through her skin at the right lower quadrant. Physical examination reveals intestinal herniation, as shown below. Which of the following is the most likely diagnosis?
Richter hernia
Spigelian hernia
Paraumbilical
Incisional hernia
A Spigelian hernia occurs along the semilunar line below the umbilical region and can protrude through the skin. A Richter hernia is a hernia that presents as a strangulated segment of part of the wall of an intestinal loop through any hernial opening. A paraumbilical hernia occurs at the level of the umbilicus, near the midline. An incisional hernia occurs with dehiscence (breakdown and reopening) of an operative incision after surgery. A ventral hernia is a type of incisional hernia located on the ventral surface of the abdomen, occurring only after surgery.
Abdomen & Pelvis