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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.
A hernia is essentially a defect or hole in the muscle of the abdominal wall that serves to hold in the organs. According to the North Penn Hernia Institute, repetitive strain or stress to the muscles can cause a hernia and you can also be born with a weak abdominal wall. Bulges in the abdomen resulting from hernias must be repaired through surgery.