Abstract
A 40-year-old man with a history of hypertension presented to the emergency department (ED) with sudden-onset central abdominal pain and a new supraumbilical bulge. Vital signs were normal other than a blood pressure of 182/115 mm Hg. Abdominal examination revealed a firm, tender mass, but was otherwise benign. Laboratory studies revealed a normal leukocyte count of 6,000 cells/μL and lactate level of 1.7 mmol/L. Point-of-care ultrasonography showed a bowel loop in the subcutaneous tissue, protruding through a fascial defect (Figure 1).
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