J Korean Surg Soc.  2011 Feb;80(2):161-163. 10.4174/jkss.2011.80.2.161.

Umbilical Cord Hernia Containing Vermiform Appendix Adherent to the Sac

• Choi SO
• Jung E
• Park WH

• KMID: 2117126
• DOI: http://doi.org/10.4174/jkss.2011.80.2.161

Abstract

This is a case report of umbilical cord hernia containing vermiform appendix, which was not reduced to the abdominal cavity by fibrous adhesion to the inner surface of the sac. Appendectomy is required to reduce the herniated bowel and to excise the hernia sac.

Keyword

Umbilical cord hernia; Appendix; Appendectomy; Ompalocele

MeSH Terms

Abdominal Cavity
Appendectomy
Appendix
Hernia
Umbilical Cord

Figure

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  Fig. 1 Photograph of newborn with umbilical ring hernia (A) and opened sac (B). Shows herniated small intestine, appendix, cecum, and ascending colon. Serosa of appendix and inner surface of sac are moderately congested. Tip of appendix (white arrow) is attached to inner surface of sac and thin fibrotic band (indicated by black arrows) is attached to sac and cecum.

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  Fig. 2 Section of appendix and wall of omphalocele. Section of appendix (left side) and wall of omphalocele (right side) shows fibrinoid band and small congested vessels between them. A few neutrophils and lymphocytes are present around congested vessels and fibrinoid band without inflammatory infiltrates at appendiceal wall (H&E stain, ×40).

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