<s>[INST] My husband has a lump under his right rib cage and feels that it grew a bit larger after helping someone push their car. He went to clinic today and thought they would tell him he has a hernia. They were not able to push it back in. What on earth could this be? We are scared... They did tell him they do not think it is a hernia. [/INST] HI, Welcome to Chat Doctor with your query. Based on the facts of your query, you seem to have an Incarcerated/Impacted Spiegelman Hernia(if it's on the right side of the center) Epigastric Ventral Hernia(if it's in the center below the rib cage), out from central weakness in the Line Alba of the Rectus Abdominis sheath. The very fact that existing lump under right rib cage has grown bigger after pushing the failed car, confirms this lump to be from existing Spiegelman / or Epigastric Hernia.USG study of the lump in the rib cage would confirm the obstructed/impacted herniated contents, which are non-Reducible.Thus, the diagnosis comes down to-Impacted Spiegelman Hernia right side. Surgeons Second opinion would confirm its exact nature and would plan treatment accordingly. Hope this would help you to plan treatment with your doctor. Will appreciate hitting thanks and writing review comments to benefit needy patient visitors at Chat Doctor like you. Good day. Chat Doctor. N. Senior Surgical Specialist. M.S. Genl-CVTS. </s>