title: Adult umbilical hernia with vertical dislocation.
abstract: We present a case of adult umbilical hernia with vertical dislocation along the abdominal wall. The hernial sac arose from the internal ring and connected to the umbilicus 20 mm below the internal ring. The postoperative course was uneventful. Two years and four months after the operation there was no evidence of recurrent hernia even when abdominal pressure was increased, and the umbilicus looked acceptable. An umbilical hernia is usually within the umbilicus. The hernial sac arose from the internal ring so should be called an umbilical hernia not an epigastric hernia. It is unusual that the umbilical hernia dislocates vertically along the abdominal wall, while the umbilicus stays depressed. This atypical form of umbilical hernia has not been described previously as far as we know.
authors.affiliation: Division of Plastic Surgery, Nara Medical University, Kashihara, Japan. niitsuma@nmu-gw.naramed-u.ac.jp
authors.forename: Katsunori
authors.initials: K
authors.lastname: Niitsuma
authors.forename: Mitsuo
authors.initials: M
authors.lastname: Hatoko
authors.forename: Masamitsu
authors.initials: M
authors.lastname: Kuwahara
authors.forename: Aya
authors.initials: A
authors.lastname: Tanaka
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Iioka
authors.forename: Satoshi
authors.initials: S
authors.lastname: Yurugi
mesh_terms: D000368:Aged; D005260:Female; D006554:Hernia, Umbilical / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D006555:Hernia, Ventral / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006801:Humans; D013514:Surgical Procedures, Operative / Q000379:methods; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome