Strangulated Umbilical Hernia in a Child: Report of a Case

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• 作者：Tadao Okada ; Hideo Yoshida ; Jun Iwai ; Tadashi Matsunaga ; Yasuhiro Ohtsuka ; Katunori Kouchi and Naomi Ohnuma
• 关键词：Key words Child ; Complication ; Hernial ring ; Strangulated umbilical hernia
• 刊名：Surgery Today
• 出版年：2001
• 出版时间：May 2001
• 年：2001
• 卷：31
• 期：6
• 页码：546-549
• 全文大小：321 KB
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Surgery
  Abdominal Surgery
  Thoracic Surgery
  Vascular Surgery
  Cardiac Surgery
  Surgical Oncology
  
• 出版者：Springer Japan
• ISSN：1436-2813

文摘

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.