scholarly journals Umbilical Hernia as Forerunner of Primary Umbilical Endometriosis: A Case Report

2021 ◽  
Author(s):  
Saunri Hansadah ◽  
Jasmina Begum ◽  
Pankaj Kumar ◽  
Sweta Singh ◽  
Deepthy Balakrishnan ◽  
...  
Keyword(s):  
Case Report ◽  
Umbilical Hernia ◽  
Umbilical Endometriosis

scholarly journals A227 UMBILICAL HERNIA INCARCERATION IN LIVER CIRRHOSIS: A RARE COMPLICATION OF PARACENTESIS

2021 ◽  
Vol 4 (Supplement_1) ◽  
pp. 263-265
Author(s):  
A LAGROTTERIA ◽  
A Aruljothy ◽  
K Tsoi
Keyword(s):  
Liver Cirrhosis ◽  
Abdominal Pain ◽  
Case Report ◽  
Small Bowel ◽  
Large Volume ◽  
Umbilical Hernia ◽  
Rare Complication ◽  
Abdominal Wall Hernia ◽  
Refractory Ascites ◽  
Large Volume Paracentesis

Abstract Background Patients with decompensated liver cirrhosis with ascites frequently have umbilical hernias with a prevalence of 20% and are managed with large volume paracentesis (LVP). Common complications of LVP include hemorrhage, infection, and bowel perforation that occur infrequently with a frequency of less than 1%. However, incarceration of umbilical hernias has been reported as a rare complication of LVP and is speculated to be from ascitic fluid decompression that reduces the umbilical hernia ring diameter resulting in entrapment of the hernia sac. It is unclear whether the quantity or the fluid removal rate increases the herniation risk. Based on case series, this rare complication occurs within 48 hours of the LVP and requires emergent surgical repair and involves a high risk of morbidity and mortality due to potential infection, bleeding, and poor wound healing. Aims We describe a case report of an incarcerated umbilical hernia following a bedside large-volume paracentesis. Methods Case report Results A 59-year-old Caucasian male presented to the emergency department with a 24-hour history of acute abdominal pain following his outpatient LVP. His medical history included Child-Pugh class C alcoholic liver cirrhosis with refractory ascites managed with biweekly outpatient LVP and a reducible umbilical hernia. He reported the onset of his abdominal pain 2-hours after his LVP with an inability to reduce his umbilical hernia. Seven liters of clear, straw-coloured asitic fluid was drained. Laboratory values at presentation revealed a hemoglobin of 139 g/L, leukocyte count of 4.9 x109 /L, platelet count of 110 xo 109 /L, and a lactate of 2.7 mmol/L His physical exam demonstrated an irreducible 4 cm umbilical hernia and bulging flanks with a positive fluid wave test. Abdominal computed tomography showed a small bowel obstruction due to herniation of a proximal ileal loop into the anterior abdominal wall hernia, with afferent loop dilation measuring up to 3.4 cm. He was evaluated by the General Surgery consultation service and underwent an emergent laparoscopic hernia repair. There was 5 cm of small bowel noted to be ecchymotic but viable, with no devitalized tissue. He tolerated the surgical intervention with no post-operative complications and was discharged home. Conclusions Ultrasound-guided bedside paracentesis is a common procedure used in the management of refractory ascites and abdominal wall hernia incarceration should be recognized as a potential rare complication. To prevent hernia incarceration, patients with liver cirrhosis should be examined closely for hernias and an attempt should be made for external reduction prior to LVP. A high index of suspicion for this potential life-threatening condition should be had in patients who present with symptoms of bowel obstruction following a LVP. Funding Agencies None

scholarly journals A Rare Case of Vulvar and Umbilical Endometriosis in a Single Patient: A Case Report

2020 ◽  
Vol 7 (1) ◽  
Author(s):  
Pathiraja PDM ◽  
◽  
Ranaraja SK ◽  
Keyword(s):  
Case Report ◽  
Rare Case ◽  
Histopathological Examination ◽  
Single Patient ◽  
Benign Disorder ◽  
Ectopic Endometrium ◽  
Umbilical Endometriosis

Endometriosis is a benign disorder and characterized by ectopic endometrium like tissues outside the uterus. We report a case of a 31 year-old woman referred to our clinic due to complaints of a vulvar and umbilical mass and periodic swelling with pain of the mass at the time of menstruation. The cyst was removed totally. Histopathological examination showed findings compatible with endometriosis in both. We have treated them with suppressive treatment with Depot Medroxy Progesterone Acetate (DMPA) and after six months patient was completely asymptomatic.

scholarly journals Umbilical endometriosis with giant degenerated uterine leiomyomas: A case report

2014 ◽  
Vol 9 ◽  
pp. 18-20 ◽  
Author(s):  
Makiko Omori ◽  
Tatsuyuki Ogawa ◽  
Masatoshi Nara ◽  
Akihiko Hashi ◽  
Shuji Hirata
Keyword(s):  
Case Report ◽  
Uterine Leiomyomas ◽  
Umbilical Endometriosis

Laparoscopic Treatment of Early Postoperative Ileus After Laparotomy.

2021 ◽  
Author(s):  
Anna Marija Lescinska ◽  
Igors Ivanovs
Keyword(s):  
Case Report ◽  
Bowel Obstruction ◽  
Umbilical Hernia ◽  
Bowel Wall ◽  
Operative Therapy ◽  
Early Postoperative Period ◽  
Laparoscopic Treatment ◽  
Hernia Surgery ◽  
Umbilical Hernia Repair ◽  
Postoperative Small Bowel Obstruction

Abstract Aim. The case report demonstrates a successful laparoscopic treatment of early postoperative small bowel obstruction after open strangulated umbilical hernia repair with mesh.Case report. An 86-year-old female was admitted to the hospital due to abdominal pain for 2 days localised in the umbilical region. A diagnosis of strangulated umbilical hernia was set, and emergency operative therapy was performed. On the third postoperative day the patient showed symptoms of bowel obstruction, confirmed on CT. An emergency laparoscopy proceeded. It revealed small intestine loop fixation to the mesh through the peritoneal defect. While separating the intestine a defect in bowel wall was found and sutured laparoscopically. Patient was discharged from the hospital on the 8th postoperative day.Conclusion. Laparoscopic treatment after open hernia surgery is an alternative access for redo surgery in early postoperative period. It provides acceptable results even in contaminated area without needs to reopen surgical wound.

Ultrasound-guided rectus sheath block for an umbilical hernia repair in a patient with Wolff-Parkinson-White syndrome: A case report☆

2015 ◽  
Vol 43 (4) ◽  
pp. 343-345
Author(s):  
Daniel López-Herrera-Rodríguez ◽  
Rosana Guerrero-Domínguez ◽  
Jesús Acosta-Martínez ◽  
Francisco Sánchez-Carrillo
Keyword(s):  
Case Report ◽  
Hernia Repair ◽  
Umbilical Hernia ◽  
Rectus Sheath ◽  
Ultrasound Guided ◽  
White Syndrome ◽  
Umbilical Hernia Repair ◽  
Rectus Sheath Block ◽  
Wolff Parkinson White Syndrome

Rare case of spontaneous sub‐umbilical endometriosis within an umbilical hernia in a 39‐year‐old female

2019 ◽  
Vol 90 (5) ◽  
pp. 895-896
Author(s):  
Joseph Xavier ◽  
Benjamin Buckland ◽  
Peter Stewart
Keyword(s):  
Umbilical Hernia ◽  
Rare Case ◽  
Umbilical Endometriosis

scholarly journals WITHDRAWN: Uncommon complication of pediatric umbilical hernia: Spontaneous evisceration. Case report and literature review

2015 ◽  
Author(s):  
Taieb Chouikh ◽  
Ahmed Khan ◽  
Belkhir Dahmane ◽  
Anis Echaieb ◽  
Dany Haddad ◽  
...  
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Umbilical Hernia ◽  
Uncommon Complication

scholarly journals Primary Umbilical Endometriosis in an Adolescent Girl: Unsuspected Pathology

2020 ◽  
Vol 08 (01) ◽  
pp. e10-e13
Author(s):  
Leel Nellihela ◽  
Mudher Al-Adnani ◽  
Dorothy Kufeji
Keyword(s):  
Umbilical Hernia ◽  
Reproductive Age ◽  
General Anesthetic ◽  
Women Of Reproductive Age ◽  
Complete Excision ◽  
Patient Reported ◽  
History Of ◽  
Background History ◽  
Excised Tissue ◽  
Umbilical Endometriosis

AbstractEndometriosis affects 7 to 10% of women of reproductive age. Primary umbilical endometriosis (PUE) is even rarer with unclear pathogenesis. We report a case of PUE possibly the youngest patient reported in the literature.A 16-year-old girl of African origin presented with painful umbilical lump for 2 to 3 months duration with background history of precocious puberty, cyclical vomiting, and menorrhagia. Clinical examination showed dark-colored, tender, irreducible umbilical lump. A provisional diagnosis of incarcerated umbilical hernia was made. Abdominal X-ray showed no features of intestinal obstruction. Ultrasound scan of the abdomen showed lump containing heterogeneous echogenic material measuring 2.0 × 1.5cm within the umbilicus with no visible bowel loops or peristalsis. This was reported as consistent with an umbilical hernia with narrow neck possibly containing mesentery or intra-abdominal fat. The patient underwent urgent exploration of umbilicus under general anesthetic. At operation, a dark-colored, firm mass was excised and sent for histology. The underlying fascia and peritoneum were repaired.Histological examination confirmed the excised tissue was endometriosis. Follow-up continues in the endometriosis clinic.Umbilical endometriosis should be considered in differential diagnoses of painful umbilical lesion in adolescent girls and women of reproductive age. Complete excision and histology are highly recommended for obtaining a definitive diagnosis, to exclude malignancy and to prevent recurrence.

scholarly journals Primary Umbilical Endometriosis A Case Report

1970 ◽  
Vol 6 (1) ◽  
pp. 51-52
Author(s):  
Nira Singh Shrestha ◽  
Shashi Pande ◽  
Mukunda Joshi ◽  
SM Padhye
Keyword(s):  
Case Report ◽  
Vaginal Delivery ◽  
Subcutaneous Nodule ◽  
Normal Vaginal Delivery ◽  
Pelvic Endometriosis ◽  
Keywords Endometriosis ◽  
Umbilical Endometriosis

A 32 year old, Para 2 with normal vaginal delivery presented with cyclical bleeding from a dark brown painful umbilical nodule for 6 months. The ultra sonogram showed a subcutaneous nodule at the umbilicus without any other abnormality. FNAC of the nodule diagnosed it as a case of umbilical endometriosis. A diagnostic laparosopy ruled out any associated pelvic endometriosis. Umbilectomy was done for the treatment of the condition. Keywords: Endometriosis, Umbilicus, Umbilectomy DOI: http://dx.doi.org/10.3126/njog.v6i1.5253 NJOG 2011; 6(1): 51-52

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