umbilical and supraumbilical catheter insertion is a common procedure performed in the nicu. it is a safe and usually easy procedure devoid of serious mishaps, morbidity and mortality. complications such as hemorrhage, infection, hernia, evisceration, omphalitis, portal vein thrombosis and portal hypertension may occur after umbilical catheter insertion. other uncommon and rare complications re...

A 42-year-old Caucasian male with cirrhosis due to alcohol abuse and HCV infection was having repeated 4-5 L paracenteses, increasing in frequency to twice monthly, over 31 months. Following the last paracentesis, he developed nausea, umbilical pain and a tender, warm non-reducible umbilical mass. A CT scan confirmed a large umbilical hernia with incarcerated bowel and ascites (Figs. 1 a,b). He...

Introduction: Traumatic Abdominal Wall Hernia (TAWH) is a rare kind of hernia. The diagnosis of TAWHs can be challenging and TAWHs may go undiagnosed for long periods of time. Case presentation: A sixty-year-old male who had been involved in a car crash 10 years earlier was referred to us for a giant post-traumatic umbilical hernia. The clinical assessment revealed an irreducible huge hernia of...

On Aug. 24, 1896, I saw a child which had been born the day before. The child, a full time male, 51 cms. long, was well, and except at the navel, well formed. At the navel the abdominal wall was defective over an almost circular area of 6 cms. diameter,the space being occupied by a nearly hemispherical swelling covered by the expanded membranes of the umbilical cord. The swelling protruded abou...

OBJECTIVES To compare the outcomes of umbilical hernia repair in patients with and without signs of portal hypertension, such as esophageal varices or ascites; to assess the effect of emergency surgery on complication rates; and to identify predictors of postoperative mortality. DESIGN Database search from January 1, 2005, through December 31, 2009. SETTING North American hospitals particip...

Abstract Amyand's hernia is defined as when the appendix is trapped within an inguinal hernia. While the incidence of this type of hernia is rare, the appendix may become incarcerated within Amyand's hernia and lead to further complications such as strangulation and perforation. Incarceration of the appendix most commonly occurs within inguinal and femoral hernias, but may arise to a lesser ext...