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 CLINICAL IMAGE
Year : 2017  |  Volume : 63  |  Issue : 1  |  Page : 58-59

Hernia of the umbilical cord associated with a patent omphalomesenteric duct


1 Department for Neonatal Surgery, Clinic for Pediatric Surgery and Orthopedics, Clinical Center Nis, Nis, Serbia
2 Department for Pediatric Surgery, General Hospital Studenica, Kraljevo, Serbia
3 Department for Pediatric Surgery, University Children's Hospital, Medical Faculty, University of Belgrade, Belgrade, Serbia

Correspondence Address:
S Sindjic-Antunovic
Department for Pediatric Surgery, University Children's Hospital, Medical Faculty, University of Belgrade, Belgrade
Serbia
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0022-3859.198157

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Congenital hernia of the cord is a different type of ventral abdominal wall defect in which the bowel usually herniates into the base of normally inserted umbilical cord through a patent umbilical ring. It is rare congenital anomaly with incidence of 1 in 5000. Although it was described as a distinct entity since 1920s it is often misdiagnosed as a small omphalocele. We present an unusal case of term male newborn with umbilical cord hernia associated with patent omphalomesenteric duct. The diagnose was made after birth despite antenatal ultrasound scans and it is managed successfully with uneventful recovery. If this is missdiagnosed, it could cause iatrogenic atresia of the ileum by clamping the umbilical cord after birth.






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Online since 12th February '04
2004 - Journal of Postgraduate Medicine
Official Publication of the Staff Society of the Seth GS Medical College and KEM Hospital, Mumbai, India
Published by Wolters Kluwer - Medknow