Strangulated umbilical hernia in a child: report of a case.
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.
Okada
T
T
Department of Pediatric Surgery, Chiba University, School of Medicine, Japan.
Yoshida
H
H
Iwai
J
J
Matsunaga
T
T
Ohtsuka
Y
Y
Kouchi
K
K
Ohnuma
N
N
D003251:Constriction, Pathologic; D005260:Female; D006554:Hernia, Umbilical / Q000150:complications* / Q000473:pathology* / Q000601:surgery; D006801:Humans; D007223:Infant; D007422:Intestines / Q000473:pathology