A 59-year-old female presented with superficial hypogastric pain and low grade fever of one week duration. The patient had a history of ovarian cancer for which she underwent two abdominal operations as well as chemotherapy two years earlier. Six months prior to her visit she had been operated for hypogastric abdominal hernia with abdominal wall reconstruction using mesh support. Physical examination on admission showed erythema in the hypogastric area extending around the middle line (Figure). Routine laboratory testing, including erythrocyte sedimentation rate (ESR) did not show abnormal findings.