Incarcerated umbilical hernia

Case contributed by Michael P Hartung
Diagnosis certain


Abdominal pain, nausea, vomiting.

High-grade small bowel obstruction with transition point at a loop of small bowel within an umbilical hernia. Distal bowel is decompressed.

Mild mesenteric edema.

Preoperative Diagnosis: Symptomatic umbilical hernia

Postoperative Diagnosis: Same 

Procedure(s): Laparoscopic converted to open small bowel resection and umbilical hernia repair. Necrotic omentum within the hernia sac was reduced.

Case Discussion

Incarcerated loop of small bowel in an umbilical hernia, resulting in high-grade small bowel obstruction. As a terminology reminder:

Incarceration: cannot reduce

Strangulated: ischemic/compromised blood flow

Case shared with me by Dr. Jeannine Ruby. 

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