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A hernia is the protrusion of an organ or piece of tissue from its normally contained space. In the abdomen, a hernia usually involves a piece of bowel, or omentum, which is a fatty apron that hangs down from the midportion of the colon (large intestine), protruding through a weak area in the abdominal wall. The abdominal wall is made up of layers of different muscles and tissues.
Basically, a hernia is a defect in the abdominal wall that allows intestine to poke through. If the hernia becomes incarcerated (the intestine becomes strangled), then a blockage and rupture of the bowel can occur. This is life threateneing. Many people survive, but are permanently disfigured. A perforated bowel can mean months in the hospital, large portions of the bowel being removed, etc.