Presentation
Abdominal pain, umbilical swelling, and concern for constipation.
Patient Data
Focal increased opacification in the umbilical region is most compatible with known umbilical hernia.
Mild diffuse dilation of small bowel segments in the mid and upper abdomen is concerning for partial small bowel obstruction in this child with nonreducible umbilical hernia.
No organomegaly or abnormal calcifications. No evidence of free air. Stool is seen scattered in the colonic segments and rectum.
The lung bases are clear. No acute osseous findings
Case Discussion
Umbilical hernias are common among children and infants; most umbilical hernias are asymptomatic 1. Majority of cases close spontaneously and no treatment is necessary 2. Surgical intervention is rare and necessary for severe symptomatic cases and obstructive cases 1.
This case was submitted with supervision and input from:
Soni C. Chawla, M.D.
Health Sciences Clinical Professor,
Department of Radiological Sciences,
David Geffen School of Medicine at UCLA.
Attending Pediatric Radiologist,
Olive View - UCLA Medical Center.
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