Presentation
Two large abdominal swelling in either side of abdominal midline with occasional pain, history of previous hernia repair twice
Patient Data
Sizable anterior abdominal wall hernia is seen with defect measuring about 10 x 8 cm. The hernial sac is complex composed of three compartments:
the first is seen to the right of the midline, neck measuring about 3.7 x 4.8 cm, containing small intestinal bowel loops. No bowel dilatation or free fluid within the sac
the second is seen to the left of the midline, neck measuring about 3.6 x 4.0 cm, containing small intestinal bowel loops. No bowel dilatation or free fluid within the sac
the third is almost in the midline, with the neck measuring about 5 x 5 cm, containing small part of the traverse colon and omental fat. No free fluid inside the sac
Case Discussion
Sizable anterior abdominal wall hernia with three sub-compartments with no detectable complications.