Hernia of Umbilical Cord with Congenital Short Gut

A 1-day-old male baby, weighing 2kg, presented with bilious vomiting and a mass at umbilicus covered by abnormally thickened base of umbilicus (hernia of umbilical cord). The mother was not on any antenatal follow-up. The delivery was spontaneous vaginal at home. On examination abdomen was scaphoid. Abdominal radiograph showed three air fluid levels indicative of associated small bowel atresia. At operation, two blind ending loops of the bowel were found after removing the sac of the hernia of umbilical cord. Further exploration revealed congenital short gut. There was only 7cm of the jejunum and 6cm of the sigmoid colon present in the abdominal cavity. Jejunocolic anastomosis performed. Patient remained admit for two weeks on TPN and then parents took the child against medical advice.