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Previous case reports regarding umbilical hernia were all with umbilical bulging, such as incarcerated umbilical Littre's hernia at the trocar site of a previous laparoscopic surgical procedure [7], sister Mary Joseph's nodule originating from endometrial carcinoma incidentally detected during surgery for an umbilical hernia [8], umbilical hernia masking primary umbilical endometriosis [9] and umbilical hernia with small bowel obstruction hidden within a chronic umbilical hernia sac in 45 years-old obese women with history of 5 years umbilical bulging [10]