Long-standing Ventral Hernia That in Surgery — 55yo Man | General Surgery | SMLE Q#901
SMLE Question #901
Surgery
General Surgery
Objective: OBJ-TRACH-EMERG-01
Last updated: February 2026
A 55-year-old man presents with a long-standing ventral hernia that became acutely painful over 6 hours. The bulge is firm, markedly tender, and not reducible. He has nausea, one episode of vomiting, and has not passed flatus since the pain began. Examination shows erythema and warmth over the hernia, with severe pain even at rest. What is the most likely diagnosis?
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