Ventral Hernia with obstruction-(ventral hernia specified as incarcerated,irreducible,strangulated-or-causing obstruction

ventral hernia 

Hrsg abdomen obtained with the patient at rest shows ventral hernia containing omental fat

Hrsg abdomen during valsalva maneuver reveals the hernia contains small bowel loops .
Increased intra abdominal pressure may improve the detection of small abdominal wall defect.

Incarcerated hernia

Note the bowel wall thickening, severe fat stranding, mesenteric engorgement, and extraluminal fluid confined to the hernia sac, findings that suggest incarceration.(strangulation)

Hrsg image of the abdomen shows herniation of bowel loops(multiple arrows) through a narrow abdominal wall defect. The patient was asymptomatic but presented with acute abdomen.Hrsg image shows ventral hernia (arrowheads). The sac of the hernia shown in now contains extraluminal fluid ,mildly thickened bowel loops and causes small bowel obstruction.

 Incarceration with small bowel obstruction was confirmed at surgery.