2004•Scandinavian Journal of Plastic and Reconstructive Surgery and Hand SurgeryRequires access
Adult umbilical hernia with vertical dislocation
Katsunori Niitsuma, Mitsuo Hatoko, Masamitsu Kuwahara, Aya Tanaka, Hiroshi Iioka, Satoshi Yurugi
Open publisher page 2 citations
Abstract
We present a case of adult umbilical hernia with vertical dislocation along the abdominal wall. The hernial sac arose from the internal ring and connected to the umbilicus 20 mm below the internal ring. The postoperative course was uneventful. Two years and four months after the operation there was no evidence of recurrent hernia even when abdominal pressure was increased, and the umbilicus looked acceptable. An umbilical hernia is usually within the umbilicus. The hernial sac arose from the internal ring so should be called an umbilical hernia not an epigastric hernia. It is unusual that the umbilical hernia dislocates vertically along the abdominal wall, while the umbilicus stays depressed. This atypical form of umbilical hernia has not been described previously as far as we know.