Infant with abdominal pain and a palpable lump just superior to the umbilicus

US of pediatric abdominal wall hernia
Transverse US of the abdominal wall (above) shows superior to the umbilicus a heterogenous isoechoic mass in the midline between the rectus muscles which are just lateral to it. Sagittal US (below) shows the mass passing through a defect in the anterior abdominal wall just superior to the umbilicus. In the operating room the mass was seen to be omental fat.

The diagnosis was abdominal wall hernia.