ABSTRACT
A Petit lumbar hernia is an uncommon hernia. Congenital forms are seen in children. Incarceration may occur as an unreducible lumbar mass, associated with bilious vomiting and abdominal distention. Abdominal X-ray shows sided-wall bowel gas. In this case, reduction and primary closure must be performed as emergency repair.
Subject(s)
Hernia, Abdominal/diagnosis , Hernia, Abdominal/surgery , Intestinal Obstruction/diagnosis , Intestinal Obstruction/surgery , Female , Hernia, Abdominal/complications , Hernia, Umbilical/diagnosis , Humans , Infant, Newborn , Intestinal Obstruction/etiology , Lumbosacral Region , Treatment Outcome , Vomiting/etiologyABSTRACT
Omphalomesenteric fistula is a complete persistence of the omphalomesenteric duct communicating between the umbilicus and the intestine. The presence of intestinal contents suggests the diagnosis in its typical form. We report a case of omphalomesenteric fistula in a 3-year-old boy to show that intestinal parasitic infection associated with ascariasis expulsion through the umbilicus can be the incidental finding of the omphalomesenteric fistula. This case needs no paraclinical investigation and treatment consists in partial transumbilical resection followed by umbilicus restitution.