Age: 52 Yrs

Sex: Female

Complaints: A 52yr old male came with chief complaints of abdominal distension with increase tension in the abdomen during standing.

Images:

 

On color doppler evaluation there is evidence of mesenteric vessel  showing significant vascularity along with the herniation of fat.

Ultrasound images shows an abdominal wall defect in the umbilical region with herniation omental and evidence free fluid in the herniated sac.