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A 46-year-old man underwent CT scan to work up a complaint of a left lower quadrant abdominal bulge. A large hernia containing a loop of small bowel was seen dissecting cephalad between external and internal oblique layers.
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The patient was taken to the operating room for laparoscopic exploration and laparoscopic or open repair of the hernia. The extent of the hernia cephalad to the left anterior superior iliac spine is shown.
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