Neonatal presentation of transected sigmoid colon following umbilical cord clamping: Hernia of umbilical cord
The umbilicus is a site of numerous embryopathies involving vessels, urachus, mid gut herniation, anterior abdominal wall defects and congenital cysts. Owing to lack of awareness, umbilical cord hernia (HUC) is often misdiagnosed and underreported, with limited data in the literature. We report an i...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-01-01
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| Series: | Journal of Pediatric Surgery Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213576622003384 |
| _version_ | 1811184623905931264 |
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| author | Charles Newton Odongo Felix Oyania Amandine Godier-Furnemont Joshua Moro Martin Situma |
| author_facet | Charles Newton Odongo Felix Oyania Amandine Godier-Furnemont Joshua Moro Martin Situma |
| author_sort | Charles Newton Odongo |
| collection | DOAJ |
| description | The umbilicus is a site of numerous embryopathies involving vessels, urachus, mid gut herniation, anterior abdominal wall defects and congenital cysts. Owing to lack of awareness, umbilical cord hernia (HUC) is often misdiagnosed and underreported, with limited data in the literature. We report an isolated case of congenital HUC and perinatal transection of the sigmoid colon during cord ligature by a midwife in a local health center.A six-day old female neonate presented with discharge of fecal matter through the umbilicus. The clamped cord, became swollen and auto-amputated on day of life three, after which fecal discharge was from the stump was noted. On examination a visible bowel loop containing stool was seen in the umbilical cord. We proceeded with surgical intervention via a small umbilical incision, with findings of transection of the sigmoid colon, no peritoneal contamination, and primary anastomosis was performed. There was event free recovery postoperatively.HUC is poorly understood and often misdiagnosed as omphalocele minor. One should be cognizant of HUC when noting swelling at the base of the cord so as to avoid any inadvertent iatrogenic enterotomy by close umbilical clamping. |
| first_indexed | 2024-04-11T13:16:38Z |
| format | Article |
| id | doaj.art-0ca1492ae4e548dca2d478332aa1148d |
| institution | Directory Open Access Journal |
| issn | 2213-5766 |
| language | English |
| last_indexed | 2024-04-11T13:16:38Z |
| publishDate | 2023-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Pediatric Surgery Case Reports |
| spelling | doaj.art-0ca1492ae4e548dca2d478332aa1148d2022-12-22T04:22:23ZengElsevierJournal of Pediatric Surgery Case Reports2213-57662023-01-0188102511Neonatal presentation of transected sigmoid colon following umbilical cord clamping: Hernia of umbilical cordCharles Newton Odongo0Felix Oyania1Amandine Godier-Furnemont2Joshua Moro3Martin Situma4Mbarara University of Science and Technology, Department of Surgery, Division of Pediatric Surgery, Uganda; Corresponding author.Mbarara University of Science and Technology, Department of Surgery, Division of Pediatric Surgery, UgandaUniversity of California, Department of Surgery, Center for Health Equity in Surgery and Anesthesia, San Francisco, CA, USAMbarara University of Science and Technology, Department of Surgery, Division of Pediatric Surgery, UgandaMbarara University of Science and Technology, Department of Surgery, Division of Pediatric Surgery, UgandaThe umbilicus is a site of numerous embryopathies involving vessels, urachus, mid gut herniation, anterior abdominal wall defects and congenital cysts. Owing to lack of awareness, umbilical cord hernia (HUC) is often misdiagnosed and underreported, with limited data in the literature. We report an isolated case of congenital HUC and perinatal transection of the sigmoid colon during cord ligature by a midwife in a local health center.A six-day old female neonate presented with discharge of fecal matter through the umbilicus. The clamped cord, became swollen and auto-amputated on day of life three, after which fecal discharge was from the stump was noted. On examination a visible bowel loop containing stool was seen in the umbilical cord. We proceeded with surgical intervention via a small umbilical incision, with findings of transection of the sigmoid colon, no peritoneal contamination, and primary anastomosis was performed. There was event free recovery postoperatively.HUC is poorly understood and often misdiagnosed as omphalocele minor. One should be cognizant of HUC when noting swelling at the base of the cord so as to avoid any inadvertent iatrogenic enterotomy by close umbilical clamping.http://www.sciencedirect.com/science/article/pii/S2213576622003384Hernia of the umbilical cordNeonatal emergenciesAbdominal wall defects |
| spellingShingle | Charles Newton Odongo Felix Oyania Amandine Godier-Furnemont Joshua Moro Martin Situma Neonatal presentation of transected sigmoid colon following umbilical cord clamping: Hernia of umbilical cord Journal of Pediatric Surgery Case Reports Hernia of the umbilical cord Neonatal emergencies Abdominal wall defects |
| title | Neonatal presentation of transected sigmoid colon following umbilical cord clamping: Hernia of umbilical cord |
| title_full | Neonatal presentation of transected sigmoid colon following umbilical cord clamping: Hernia of umbilical cord |
| title_fullStr | Neonatal presentation of transected sigmoid colon following umbilical cord clamping: Hernia of umbilical cord |
| title_full_unstemmed | Neonatal presentation of transected sigmoid colon following umbilical cord clamping: Hernia of umbilical cord |
| title_short | Neonatal presentation of transected sigmoid colon following umbilical cord clamping: Hernia of umbilical cord |
| title_sort | neonatal presentation of transected sigmoid colon following umbilical cord clamping hernia of umbilical cord |
| topic | Hernia of the umbilical cord Neonatal emergencies Abdominal wall defects |
| url | http://www.sciencedirect.com/science/article/pii/S2213576622003384 |
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