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Strangulated Umbilical Hernia

Strangulated Umbilical Hernia

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Figure

THE CASE: A 44-year-old man presents with sharp, severe abdominal discomfort
that began suddenly while he was driving to your office for a routine
physical examination. The patient reports that several days earlier he had
lifted a refrigerator. He experienced intermittent umbilical discomfort for several
days afterwards.

Based on the clinical picture, what is the most likely diagnosis?

  • Incarcerated umbilical hernia.
  • Strangulated umbilical hernia.
  • Acute pancreatitis (Cullen sign).
  • Acute appendicitis.

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