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Incisional hernia — USMLE Step 3 MCQ

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EasySurgery (post-operative, follow-up)Incisional herniaUSMLE Step 3

A 64-year-old man notices a painless bulge at the site of a midline laparotomy 8 months after surgery. The bulge enlarges with coughing and reduces when supine. There is no vomiting, skin change, or tenderness. Which of the following is the most likely diagnosis?

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Correct answer: E — Incisional hernia

A reducible bulge at a prior incision that increases with Valsalva is an incisional hernia.

Reference: ACS Hernia Surgery Principles