J Korean Assoc Pediatr Surg.  2017 Jun;23(1):9-11. 10.13029/jkaps.2017.23.1.9.

Hernia of Umbilical Cord with Segmental Dilatation of Ileum: Cause or Effect?

• Hegde S
• Bawa M

• KMID: 2384424
• DOI: http://doi.org/10.13029/jkaps.2017.23.1.9

Abstract

Hernia of the umbilical cord associated with segmental dilatation of the ileum (SDI) is a rare entity with only 17 cases reported in literature. We hypothesize that the prominent mesenteric vessels or folds that splay out towards the ends of the SDI signify the presence of an antecedent duplication cyst which eventually got resorbed to form the dilated segment.

Keyword

Hernia; Umbilical cord; Segmental dilatation; Ileum

MeSH Terms

Dilatation*
Hernia*
Ileum*
Umbilical Cord*

Figure

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  Fig. 1 Hernia of umbilical cord with a narrow pedicle.

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  Fig. 2 An abdominal radiograph shows few bowel loops inside the sac.

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  Fig. 3 Intraoperative photograph shows segmental dilatation of the ileum (SDI). Black arrows depict the mesenteric bands/vessels in V-shaped pattern at ends of SDI.

Reference

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