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. 2022 Feb 1;12(2):370. doi: 10.3390/diagnostics12020370

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© 2022 by the authors.

Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).

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A 59-year-old male patient with acute peritoneal pain in the umbilical region and a palpable tumor. (A) B-mode ultrasound shows a complex lesion located in the abdominal wall, with visualization of omental hernia content. (B,C) On contrast-enhanced ultrasound, the lesion shows absent enhancement after 26 s (arrows) and 92 s. (D) Omentum with fibrotic strands, including dilated hyperemic capillaries (4× magnification). (E) Fibrotic hernia sac with dilated hyperemic capillaries (10× magnification).