Umbilical cord hernia associated with complete evagination of the patent omphalomesenteric duct and prolapse of adjacent ileal limbs
Dear Editor, An umbilical cord hernia (UCH) [or congenital hernia of the umbilical cord (CHUC)], is a rare postnatal persistence of herniation of variable portions of the intestine into the umbilical cord. It represents normal physiological herniation in the early fetal life.1 A normal insertion of...
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2021
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| Online Access: | http://dx.doi.org/10.1016/j.asjsur.2021.05.022 https://www.sciencedirect.com/science/article/pii/S1015958421002992 http://hdl.handle.net/10576/20823 |
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| Summary: | Dear Editor, An umbilical cord hernia (UCH) [or congenital hernia of the umbilical cord (CHUC)], is a rare postnatal persistence of herniation of variable portions of the intestine into the umbilical cord. It represents normal physiological herniation in the early fetal life.1 A normal insertion of the cord characterizes UCH into the umbilical ring with intact skin covering the ring. The defect diameter is < 4 cm, contenting from intestinal loops to any movable intraperitoneal organs. The etiology of UHC remains unclear, but it is believed to arise from either persistent physiological mid-gut herniation or by a failure of contracture of the umbilical ring. The incidence of UCH is ~1:5000 with a male preponderance (3:1). UCH may be rarely associated with a persistent omphalomesenteric duct (POMD), Meckel's diverticulum, cloacal anomaly, type I colonic atresia, and type IIIb ileal atresia.1 Clinical symptoms of UCH may vary according to the herniated contents. |
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