Man With Rushing Fluid From His Umbilicus William D. Long, MD, Geoffrey E. Hayden, MD  Annals of Emergency Medicine  Volume 62, Issue 4, (October 2013) DOI: 10.1016/j.annemergmed.2013.02.026 Copyright © 2013 American College of Emergency Physicians Terms and Conditions

Figure 1 Ulcerated umbilical hernia. Annals of Emergency Medicine 2013 62, DOI: (10.1016/j.annemergmed.2013.02.026) Copyright © 2013 American College of Emergency Physicians Terms and Conditions

Figure 2 Close-up of ascites draining through the ruptured umbilicus (arrow). Annals of Emergency Medicine 2013 62, DOI: (10.1016/j.annemergmed.2013.02.026) Copyright © 2013 American College of Emergency Physicians Terms and Conditions

Figure 3 Abdominal dressing applied in preparation for operative management. Annals of Emergency Medicine 2013 62, DOI: (10.1016/j.annemergmed.2013.02.026) Copyright © 2013 American College of Emergency Physicians Terms and Conditions