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Órgano Oficial del Instituto Nacional de Pediatría

2019, Number 2

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Acta Pediatr Mex 2019; 40 (2)

Rupture of umbilical hernia sack with evisceration by placing foreign body. Case report

González-Rodríguez LE, Toledo-Sánchez OA, Islas-Sánchez E

Language: Spanish
References: 11
Page: 65-70
PDF size: 535.53 Kb.


ABSTRACT

Background: Umbilical herniorrhaphy is one of the most performed surgical interventions in pediatric patients; his treatment has changed little in the last 100 years. External compression was often recommended and insisted on the importance of preserving the appearance of the navel, rather than excision. The complications are exceptional, so the spontaneous rupture of the umbilical hernia is extremely rare.
Clinical case: Female infant of two months, previously healthy, with rupture of an umbilical hernial sac associated with the placement of a foreign body, with evisceration of the small intestine. The clinical picture was of short evolution because the surgical repair was immediate, with postoperative recovery without setbacks; It required brief intrahospital treatment.
Conclusions: Although the indications for surgical repair of umbilical hernia have been debated and may vary among pediatric surgeons, the risk of complications is very low; The cases of mortality reported are few. Doctors and parents should be informed and be able to identify warning signs of spontaneous rupture.


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