A man, aged 80, for a number of years had had a mass in the median line above the umbilicus. This mass, which evidently was an epigastric hernia, had suddenly shown evidences of strangulation, and it was in consequence of this that he was seen. The strangulation presumably had followed a bronchitis which had occasioned severe coughing. Operation was performed at once. The hernia was found to escape through an opening in the linea alba about 3 inches above the umbilicus. There was a distinct peritoneal sac, which, on being opened, disclosed a mass of omenturn about the size of a small orange. This was ligated off and the hernial opening closed. The patient made a good recovery so far as the wound was concerned, although the bronchitis was considerably aggravated by the anesthetic, and in consequence of this he was quite ill for a number of days.
DANFORTH WC. STRANGULATED EPIGASTRIC HERNIA. JAMA. 1915;LXIV(5):427-428. doi:10.1001/jama.1915.02570310047016