Acta Scientific Paediatrics (ISSN: 2581-883X)

Case Report Volume 4 Issue 10

Evisceration of Umbilical Hernia by Impalement: A Case Report

Diaby S*, Fall M, Diouf C, Coulibaly Mb, Gueye O, Bogol J, Ndour O and Ngom

Department of Paediatric Surgery, Senegal

*Corresponding Author: Souleymane Diaby, Department of Paediatric Surgery, Senegal.

Received: May 27, 2021; Published: September 15, 2021


  In contrast to the Caucasian child, umbilical hernia can be complicated in 18.5% of black subjects. In the literature, the main complications described are hernial strangulation and engorgement, which reflect incarceration of the small intestine or omentum through the hernia. Our observation describes a rare complication which is evisceration on umbilical hernia by impalement. This is a 12-year-old female patient with a large umbilical hernia from birth, received at 3 hours of a playful accident at home. Emergency surgical exploration by subumbilical arched approach, ligation and section of the infarcted omentum; longitudinal aponeurography by X-stitches and an umbilical plasty were performed. Progressive feeding was started the next day and discharge was allowed on the third day. The patient received regular care and follow-up. The evolution was unremarkable after the postoperative setback of one month.

Keywords: Umbilical Hernia; Evisceration; Impalement


  1. Bandré E., et al. “Hernies ombilicales étranglées chez l’enfant au Burkina Faso: différences avec les pays développés”. Le Bulletin de la Société de Pathologie Exotique 103 (2010): 100-103.
  2. Bikandou G., et al. “Les traumatismes abdominaux de l’enfant au C.H.U. de Brazzaville (à propos de 41 cas)”. Medecine d'Afrique Noire1 (1992).
  3. Chaumoître K., et al. “Particularités des traumatismes thoraciques et abdominales chez l’enfant”. Journal of Radiology 89 (2008): 1871-1888.
  4. Goknar N., et al. “Spontaneous evisceration of umbilical hernia in a patient with congenital nephrotic syndrome”. Journal of Pakistan Medical Association5 (2017).
  5. Harouna Y., et al. “La hernie ombilicale de l’enfant noir africain: aspects cliniques et résultats du traitement à propos de 52 cas”. Medecine D'afrique Noire6 (2001).
  6. Hulsebos RG., et al. “Perforation of a Congenital Umbilical Hernia in a Patient with Hurler’s Syndrome”. Journal of Pediatric Surgery9 (2004): 1426-1427.
  7. Kittur DH., et al. “Rupture de la hernie ombilicale avec éviscération chez un nouveau-né - un rapport de cas”. Journal of Neonatal Surgery 6 (2017): 67.
  8. Méfat L and Becmeur F. “Hernie ombilicale de l’enfant”. EMC (2007): 40-140.
  9. Meyer P., et al. “Traumatismes abdominaux chez l’enfant”. EMC (2007).
  10. Monneuse YOJ., et al. “Les plaies pénétrantes de l'abdomen, conduite diagnostique et thérapeutique. À propos de 79 patients”. Annales de Chirurgie3 (2004): 156-163.
  11. Thomson W L., et al. “A literature review of spontaneous evisceration in pediatric umbilical hernias”. Pediatric Surgery International 28 (2012): 467-470.
  12. Weik J and Moores D. “An unusual case of umbilical hernia rupture with evisceration”. Journal of Pediatric Surgery 40 (2005): E33-E35.

Citation: Diaby S., et al. “Evisceration of Umbilical Hernia by Impalement: A Case Report". Acta Scientific Paediatrics 4.10 (2021): 21-23.

Copyright: © 2021 Diaby S., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

News and Events

Contact US