42 y/o male presents with pain, swelling and some redness at his umbilicus.   Answer: incarcerated umbilical hernia, with some signs of early strangulation This ultrasound demonstrates a clear peritoneal defect with a loop of bowel penetrating through the defect.  There does appear to be free fluid surrounding the loop of bowel.  Although there is some blood flow present on color power doppler, peristalsis is absent in the incarcerated loop of bowel.See alsoUltrasound of the Week·March 9, 2015UOTW #40 Bedside ultrasound has been … Continue reading UOTW #44