![Incarcerated umbilical hernia Incarcerated umbilical hernia](https://www.sages.org/wp-content/uploads/image-library-thumbnails/37638.jpg)
A 26yo man with ESLD and ascites 2nd to chronic hepatitis C who presented with a nonreducible umbilical bulge and small bowel obstruction. On exploration, a long segment of necrotic small intestine was removed. The patient recovered uneventfully. Hongyi C
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