Raicevic M, Filipovic I, Sindjic-Antunovic S
Department for Neonatal Surgery, Clinic for Pediatric Surgery and Orthopedics, Clinical Center Nis, Nis, Serbia.
Department for Pediatric Surgery, General Hospital Studenica, Kraljevo, Serbia.
J Postgrad Med. 2017 Jan-Mar;63(1):58-59. doi: 10.4103/0022-3859.198157.
Congenital hernia of the cord is a different type of ventral abdominal wall defect in which the bowel usually herniates into the base of normally inserted umbilical cord through a patent umbilical ring. It is rare congenital anomaly with incidence of 1 in 5000. Although it was described as a distinct entity since 1920s it is often misdiagnosed as a small omphalocele. We present an unusal case of term male newborn with umbilical cord hernia associated with patent omphalomesenteric duct. The diagnose was made after birth despite antenatal ultrasound scans and it is managed successfully with uneventful recovery. If this is missdiagnosed, it could cause iatrogenic atresia of the ileum by clamping the umbilical cord after birth.
先天性脐疝是一种不同类型的腹前壁缺损，肠管通常通过开放的脐环疝入正常附着的脐带基部。它是一种罕见的先天性异常，发病率为五千分之一。尽管自20世纪20年代以来就被描述为一种独特的病症，但它常被误诊为小型脐膨出。我们报告一例足月儿男性新生儿，患有与开放的卵黄管相关的脐疝。尽管产前进行了超声扫描，但出生后才做出诊断，经成功治疗后恢复顺利。如果误诊，出生后钳夹脐带可能导致回肠医源性闭锁。
