PMC4802521_01
Large umbilical hernia with overlying central irregular clean ulcer. Surrounding erythema and peau d' orange on the lower two-thirds of the abdomen.
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PMC4802521_01_gr1.jpg
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This rupture was accompanied by tenderness, erythema, and peau d'orange of the surrounding abdominal skin, which had been present for 3 weeks before presentation (Fig 1).