Abstract
Most umbilical hernias in children close spontaneously. Complications associated with umbilical hernias are rarely observed during follow-up. We report herein a 5-month-old girl with a strangulated umbilical hernia. Her umbilicus was hard, reddish, and irreducible. Plain radiography of the abdomen showed signs of mechanical ileus. The patient was thus diagnosed to have a strangulated umbilical hernia. A 5-cm section of the ascending colon and a 5-cm section of the terminal ileum, as well as the cecum and appendix, were congested, edematous, and erythematous, and together were enclosed by a firm hernial ring. A closure of the fascial defect and umbilicoplasty were performed. The postoperative course was uneventful. In patients with infantile umbilical hernias, strangulation may occur as the fascial defect decreases in size.
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Received: May 30, 2000 / Accepted: January 9, 2001
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Okada, T., Yoshida, H., Iwai, J. et al. Strangulated Umbilical Hernia in a Child: Report of a Case. Surg Today 31, 546–549 (2001). https://doi.org/10.1007/s005950170120
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DOI: https://doi.org/10.1007/s005950170120