A literature review of spontaneous evisceration in paediatric umbilical hernias

Umbilical hernias occur frequently in children but complications are very rare and thus surgery is not routinely indicated. In this literature review, we report 19 cases of spontaneous evisceration of abdominal contents through umbilical hernias. Precipitating causes included umbilical ulceration or...

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Bibliographic Details
Published in:Pediatric surgery international 2012-05, Vol.28 (5), p.467-470
Main Authors: Thomson, Wendy L., Wood, Richard J., Millar, Alastair J. W.
Format: Article
Language:English
Subjects:
Child
Child, Preschool
Hernia, Umbilical - complications
Hernia, Umbilical - surgery
Herniorrhaphy - methods
Humans
Infant
Literature reviews
Medicine
Medicine & Public Health
Pediatric Surgery
Pediatrics
Review Article
Risk Factors
Rupture, Spontaneous
Surgery
Visceral Prolapse - etiology
Visceral Prolapse - surgery
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Summary:Umbilical hernias occur frequently in children but complications are very rare and thus surgery is not routinely indicated. In this literature review, we report 19 cases of spontaneous evisceration of abdominal contents through umbilical hernias. Precipitating causes included umbilical ulceration or sepsis, crying, respiratory infection, intussusception and ascites. Management involved resuscitation and surgical repair. Mortality is low. As the incidence of spontaneous rupture is very low, the current management of an umbilical hernia remains appropriate. However, we encourage physicians to be aware of the potential risk factors for spontaneous rupture and in these patients expedite surgical repair.
ISSN:0179-0358
1437-9813
DOI:10.1007/s00383-012-3076-8