Relatively large ventral abdominal wall facial defect seen straddle the umbilicus with two sacs, the largest on the right of the midline. The hernial sac contains almost all the transverse colon, mid-ileal loops (in the right sac), and small bowel mesentery with minimal fat stranding with no trapped fluid within. No bowel tethering at the defect, and no finding to suggest adhesion, ischemia, or obstruction.
Rectus abdominis muscle thickness of 10-14 mm at the level of the defect and 4-8 mm width with noticeable lateral distensibility, no significant fat infiltration.