Congenital hernia of cord: an often misdiagnosed entity

Raju, Rubin; Satti, Mohamed; Lee, Quoc; Vettraino, Ivana M.

doi:10.1136/bcr-2015-209642

Cited by 14 publications

(17 citation statements)

References 8 publications

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“…Hernial sac contains the loops of both the small and the large intestine and rarely the liver and the gallbladder. Associated anomalies and chromosomal aberrations happen rarely, as shown by Haas et al, who described a series of 7 newborns with umbilical cord hernia whose amniocentesis had normal karyotype, as in our case (2,3).…”

Section: Discussionmentioning

confidence: 72%

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Rare Abdominal Wall Malformation: Case Report of Umbilical Cord Hernia

Gliha

Car

Višnjić

et al. 2017

Acta Med. (Hradec Kralove, Czech Repub.)

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A B ST R AC T The umbilical cord hernia is the rarest form of abdominal wall malformations, anatomically completely different from gastroschisis and omphalocele. It occurs due to the permanent physiological evisceration of abdominal organs into umbilical celom and persistence of a patent umbilical ring. The umbilical cord hernia is often mistaken for omphalocele and called "small omphalocele". Here we present a case of a female newborn with umbilical cord hernia treated in our Hospital. After preoperative examinations surgery was done on the second day of life. The abdominal wall was closed without tension. The aim of this article is to present the importance of the proper diagnose of these three entities and to stimulate academic community for the answer, is this umbilical cord hernia or small omphalocele. K E Y WO R D S umbilical cord hernia; omphalocele; gastroschisis; abdominal wall malformation

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Section: Discussionmentioning

confidence: 72%

“…The prenatal diagnosis of omphalocele may cause the parents to feel uneasy and anxious, as well as make them decide on ar- tificial abortion (3). Such a destiny would be a tragedy for any family, because the termination of a pregnancy with maximal chance for healthy life of the child would be performed.…”

Section: Discussionmentioning

confidence: 99%

Rare Abdominal Wall Malformation: Case Report of Umbilical Cord Hernia

Gliha

Car

Višnjić

et al. 2017

Acta Med. (Hradec Kralove, Czech Repub.)

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“…Unlike an omphalocele, it is not linked with chromosomal anomalies but has been loosely associated with intestinal anomalies, suggesting the need for a complete fetal anatomical ultrasound evaluation. 2 Traumatic injury to intestinal loops in congenital hernia of the umbilical cord has been reported previously and emphasized so as to prevent such injury at the time of birth. 3 This case is reported because of its very rare occurrence, and as a caution to all that such an accident may take place.…”

Section: Introductionmentioning

confidence: 99%

Be vigilant before you clamp the cord: iatrogenic transaction of ileum - an avoidable catastrophe

Prakash¹,

Doshi²,

Singh³

et al. 2016

Int J Contemp Pediatr

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Congenital hernia of the umbilical cord (CHUC) is a rare congenital midline abdominal defect as compared to the umbilical hernia which is much more common and occurs post-natally. Despite its recognition as a distinct entity since 1920s, CHUC is often misdiagnosed as a small omphalocele, resulting in its under-reporting. These masses may be easily overlooked at birth, which may result in complications like infections and an intestinal injury due to careless proximal application of the cord clamp. Herein, we present a neonate who sustained accidental transaction of small bowel in congenital hernia of the umbilical cord due to inappropriate clamping of the cord. The case is reported in order to emphasize the potential hazard of clamping the bowel at the time of the handling of the umbilicus. It is imperative that extreme caution should be exercised by medical professionals and nursing staff prior to clamping the cord in order to avoid this type of injury. Such injuries are completely preventable if proper care and utmost precaution is taken during ligation of cord but can result in catastrophes otherwise. For the benefit of the readers the embryology of CHUC and differentiating features from other abdominal wall defects are also discussed.

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“…The connecting stalk of the fetus develops blood vessels and fuses with the omphalomesenteric duct to become the umbilical cord approximately 7-8 weeks after conception. [1][2][3] By 6 weeks of gestation, two umbilical arteries and two umbilical veins exist. By 8 weeks of gestation, the right umbilical vein regresses, leaving the left umbilical vein as the single vein within the umbilical cord.…”

Section: Introductionmentioning

confidence: 99%

“…Patole MM et al Int J Contemp Pediatr. 2020 Jan;7 (1): [132][133][134][135] International Journal of Contemporary Pediatrics | January 2020 | Vol 7 | Issue 1 Page 133 Umbilical cord may be a location of various congenital anomalies related to morphology, placental insertion, number of vessels, primary tumors etc., single umbilical artery being the commonest finding. 4 In case of congenital Umbilical cord hernia(CHUC) the umbilical ring does not close and variable portions of the intestines remain in the extracelomic cavity which present at birth as congenital hernia into the umbilical cord.…”

Section: Introductionmentioning

confidence: 99%

Hernia of the umbilical cord: a clinical spectrum

Patole¹,

Patole²,

Paul³

2019

Int J Contemp Pediatr

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Background: Hernia of the umbilical cord is a rare clinical entity which presents with hernia of the small bowel into the proximal part of the umbilical cord. This is sporadically associated with other congenital malformations. This is usually poorly identified and mistakenly termed as ‘omphalocele minor. Inadvertent clamping of the cord in these cases leads to iatrogenic bowel wall injury. The aim of this study is to present a spectrum of cases presenting with umbilical cord hernia in a tertiary care Govt medical college, along with demography, intra operative findings, associated malformations and postoperative outcome and 1 year follow up.Methods: This is an ambispective study on neonates who attended the Outpatient Department (OPD) or Emergency department. The babies were evaluated by age, birth weight, gender, any gross clinical malformation. They were also evaluated intraoperatively for any associated anomalies. Post-surgery the babies were followed up until 2 years of age in pediatric surgery OPD of the same institute and outcome was recorded.Results: Out of 90 babies, 88 babies (97.77%) had body weight more than 2.5 kg, and rest 2(2.22%) had bodyweight of 1.5kg and 1.8 kg. Regarding content of contents of umbilical cord hernia, out of 87 patients, 43 patients (49.42%) had ileal loop as, 32 patients (36.78%) had ileum with Meckel’s diverticulum, 6 patients (6.39%) had cecum with appendix.Conclusions: Most of this study cases had ileal loops as content of the hernial sacs, and 36.78% cases had Meckel’s diverticulum associated, which is a remnant of Vitello intestinal duct. Prompt identification of the condition and early intervention and adequate post-natal care are affective to prevent long term morbidity.

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Congenital hernia of cord: an often misdiagnosed entity

Cited by 14 publications

References 8 publications

Rare Abdominal Wall Malformation: Case Report of Umbilical Cord Hernia

Rare Abdominal Wall Malformation: Case Report of Umbilical Cord Hernia

Be vigilant before you clamp the cord: iatrogenic transaction of ileum - an avoidable catastrophe

Hernia of the umbilical cord: a clinical spectrum

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