Abstract
1. 1. A unique case of incarcerated umbilical hernia associated with epigastric, ventral, spigelian and mesocolic hernias is reported. 2. 2. The spigelian hernial sac contained the mesocolic hernia. 3. 3. A successful repair was accomplished by converting the four hernial openings into a single defect and utilizing the Mayo principle of repair. 4. 4. This repair was preserved in spite of severe postoperative infection by treatment with azochloramid solutions.
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