Hernia of Umbilical Cord: Report of Three Unusual Cases

Mirza, Bilal; Mirza, Afzal; Hashim, Imran

doi:10.47338/jns.v4.169

Cited by 6 publications

(3 citation statements)

References 4 publications

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“…Pal et al described an HUC case with gut perforation and extracelomic colonic atresia [27]. Mirza et al reported a case series of three HUC cases: one case associated with in utero evisceration of whole small bowel through presumably ruptured HUC and other 2 cases associated with patent vitellointestinal duct [28]. In Patole1 et al [29], most cases had ileal loops (49.42%) as the content of hernial sacs, 36.78% cases had Meckel's diverticulum, and 6.39% had cecum with the appendix.…”

Section: Discussionmentioning

confidence: 99%

Distinct presentations and management of hernia of the umbilical cord: 15 years’ experience in a tertiary hospital

et al. 2022

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Background Hernia of the umbilical cord (HUC) is an uncommon type of abdominal wall defect characterized by a hernia of the midgut into the proximal section of the umbilical cord. This is occasionally coupled with other congenital abnormalities. This is frequently misdiagnosed and referred to as “omphalocele minor.” In certain cases, unintentional cord clamping causes iatrogenic intestinal harm. The purpose of this retrospective study is to highlight various aspects of the HUC therapy in 30 patients with typical and unusual presentations in a tertiary care facility as well as intraoperative findings and associated abnormalities. Methods Thirty neonates (21 males and 9 females) with usual and unusual presentations of HUC diagnosed and treated at the King Abdelaziz University Hospital, Jeddah, Saudi Arabia, over 15 years period from 2005 to 2020. Results Out of 30 cases included, 17 patients were reducible with simple classical HUC repair. While 13 patients had different presentations, six cases presented with irreducible content due to variable reasons, four cases presented with patent vitellointestinal duct (PVID), 2 cases presented with intestinal obstruction, and one case presented late with epithelialized HUC sac. Conclusions Attention to HUC should be paid by obstetric professionals in order not to miss it on antenatal ultrasound and careful umbilical cord examination at delivery to avoid clamping of visceral content if present in HUC.

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Section: Discussionmentioning

confidence: 99%

Distinct presentations and management of hernia of the umbilical cord: 15 years’ experience in a tertiary hospital

et al. 2022

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“…Omphalocele minor, on the other hand, is a condition in which a true abdominal wall defect is present. 7,8 If the herniation is caused by the abdominal wall para-umbilical defect, this type of herniation is called Gastroschisis which is mostly in the right-side. Abdominal organs or various segments of the bowel may herniate from this small (mostly less than 4 cm in diameter) abdominal wall defect.…”

Section: Discussionmentioning

confidence: 99%

Newborn with Hernia Umbilical Cord: A Case Report and Review of Literature

Ghabisha¹,

Ahmed²,

Al‐wageeh³

et al. 2021

OAS

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Cord congenital hernia is a condition in which due to a patent umbilical ring, intestinal components protrude into the umbilical cord. Although post-natal umbilical hernia is not uncommon, its congenital form is an uncommon phenomenon (incidence rate about 0.2%) with an excellent post-surgical prognosis. It is frequently misdiagnosed as a small omphalocele. Additionally, if it is undiagnosed at the time of birth, clamping the umbilical cord can cause iatrogenic atresia of the ileum. Hence, during a physical exam, it is mandatory to look carefully for any skin folds in the form of a collar or defects in the umbilical ring or abdominal wall to avoid misdiagnosis. We report a full-term male newborn present with umbilical cord hernia, who underwent successful open surgery, with extra focus on the management and outcome of this disease.

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“…Although recognized as a distinct entity since 1920s, CHUC is often misdiagnosed as a minor omphalocele, resulting in its underreporting [1,2]. The CHUC with contents as patent vitellointestinal duct (PVID) and its remnants or atresia and even perforation of herniated gut has been reported [3,4]. We are reporting one such rare case of this anomaly which presented with rupture of hernia sac and evisceration of small gut with reverse ileal intussusception via PVID.…”

Section: Introductionmentioning

confidence: 99%

Congenital hernia of umbilical cord with patent vitellointestinal duct along with evisceration of gut—a rare presentation and unusual management

2022

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Background Congenital hernia of umbilical cord is a rare congenital anomaly. Due to its presentation as herniation of small bowel or other viscera into the umbilical cord, it is often misdiagnosed as omphalocele minor. Case presentation We are reporting a rare case of congenital hernia of umbilical cord which presented with rupture of hernia sac and evisceration of small bowel loops with reverse ileal intussusception via a patent vitellointestinal duct. It was managed by first repositioning the gut with stoma at umbilical site as a temporizing measure followed by definitive surgery in the form of resection of patent vitellointestinal duct and end to end ileal anastomosis. Conclusion Congenital hernia of umbilical cord with patent vitellointestinal duct is a rare abdominal wall defect which can present beyond neonatal period with evisceration of gut. A high index of suspicion should be kept by the first attending clinician to avoid a delay in management.

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Hernia of Umbilical Cord: Report of Three Unusual Cases

Cited by 6 publications

References 4 publications

Distinct presentations and management of hernia of the umbilical cord: 15 years’ experience in a tertiary hospital

Distinct presentations and management of hernia of the umbilical cord: 15 years’ experience in a tertiary hospital

Newborn with Hernia Umbilical Cord: A Case Report and Review of Literature

Congenital hernia of umbilical cord with patent vitellointestinal duct along with evisceration of gut—a rare presentation and unusual management

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