Abstract
We present a case of an 85-year-old female who developed an acute abdominal lump and pain after pulling herself up from a car seat. She experienced a sudden "pop" sensation, followed by a palpable periumbilical lump. Imaging revealed a large, infected collection in the left anterior abdominal wall. The patient underwent urgent incision and drainage, which was completed successfully without complications. Histological analysis of wound discharge confirmed acute inflammation without malignancy. This case underscores the need for early recognition and intervention in elderly patients presenting with an acute abdominal lump and pain.