In the head of Andromeda, there is a star of the second magnitude called Alpheratz and is one of those which form the square of Pegasus[…]. Alpheratz is on an imaginary line drawn from the north-easternmost star in the square of the Great Bear, through the north polar star, and distant from the latter about 61 degrees.

close reasoning

A tense hush — similar to those intervals of electrical stillness that separate the resoundings of a thunderstorm — fell upon the room.

Only one case of gallbladder volvulus within an incisional hernia has been previously described, but it was a parastomal herniation (Rosenblum et al. 2013).