Umbilical hernia

Choanal atresia with scalp aplasia cutis, umbilical hernia, sacral pilonidal sinus, limb hypertonia, and down-slanting palpebral fissures affected the child of a woman who took methimazole 10 mg/day until the 8th week of gestation (96). 

Umbilical hernia—protrusion of the intestines into the umbilical cord Ectopic intestines—extrusion of the intestines outside the body wall... 

Fig. 16.7 Massive refractory ascites with large umbilical hernia. Muscular atrophy and loss of subcutaneous fatty tissue...

Lemmer, J.H., Strodel, W.E., Eckhauser, F.E. Umbilical hernia incarceration a complication of medical therapy of ascites. Amer. X Gastroenterol. 1983 78 295 - 296... 

Runyon, B.A., Juler, G.L. Natural history of repaired umbilical hernias in patients with and without ascites. Amer. X Gastroenterol. 1985 80 38-39... 

Fig. 5.3. a Scan of the anterior abdominal wall with Valsalva manoeuvre shows the ventral hernia containing the bowel loops (BO) and the defect in the fascia (arrows), b Fatty epigastric hernia with herniation of the properitoneal fat (arrows), c Spigelian hernia shows the defect marked by calipers lateral to the rectus muscle (R) and the contents (BO) limited anteriorly by the Spigelian fascia (arrow), d Richter s type umbilical hernia shows fluid-filled hernial sac (arrowheads) and irreducible herniation of only a part of the circumference of the bowel (arrow), which showed wriggling peristaltic movement in real time... 

Some ventral hernias are not seen at rest and are brought into view with only one of the manoeuvers. When the hernia is seen at rest, an attempt is made to slide the contents into the abdomen to know if the hernia is reducible. Sonography readily differentiates other conditions that mimic ventral hernia such as lipoma, metastasis, suture granuloma, abscess or endometriosis. Umbilical hernia is a type of ventral hernia that occurs through the weak umbilicus. Fatty epigastric hernia is protrusion of the properitoneal fat through a defect in the linea alba. 

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