A 90 year old woman comes to the emergency department suffering abdominal pain and vomiting for 12h.
Physical examination reveals a big abdominal herniation at the left side of the abdomen. It is painful, soft but not reducible, and not bigger than the previous days.
Abdominal X-ray reveals signs of incomplete small bowel obstruction: modest dilatation of loops and hydro-aerial levels, with no free gas on rectal ampoule.
Abdominal CT scan (Figs. 1 and 2) describes abdominal rectum diastases, which contains four digestive system organs: peripheral portion of third segment of the liver, gastric body, duodenum, and transverse and descendent colon.
Please cite this article as: Borregón Rivilla M, Martínez-Barroso K, Palomares Morales A, Morán Gallego FJ. Eventración gigante con contenido multivisceral. Cir Esp. 2018;96:516.