Miyahara Masazumi, Osaki Kyoko
Department of Pediatrics, Okanami General Hospital, Iga, JPN.
Cureus. 2023 Jun 18;15(6):e40590. doi: 10.7759/cureus.40590. eCollection 2023 Jun.
An umbilical hernia (UH) is a common condition in early childhood; it is defined as the protrusion of abdominal viscera through a defect in the umbilical ring. Since most UHs close spontaneously, almost no active treatment has been performed. Adhesive strapping (AS) for early UH closure is an easy-to-perform and relatively safe treatment. However, it can present rare but serious complications. Herein, we report a case of a three-month-old infant with incarcerated UH during AS therapy. AS treatment for UH, which has been reported mainly in Japan, has shown excellent results in observational studies and could be widely applied globally. However, our case demonstrated the presence of a noteworthy complication; incarcerated UH, in addition to skin complications, such as cellulitis and skin ulcer-related perforation, was associated with AS. To minimize the occurrence of these complications associated with AS treatment for UH, it is crucial to adequately explain and guide the family members regarding the proper management of AS and seeking medical care promptly when abnormalities occur during AS.
脐疝（UH）是幼儿期的常见病症；它被定义为腹腔脏器通过脐环缺损突出。由于大多数脐疝会自行闭合，几乎未进行积极治疗。早期脐疝闭合的粘贴绷带法（AS）是一种易于实施且相对安全的治疗方法。然而，它可能会出现罕见但严重的并发症。在此，我们报告一例三个月大婴儿在AS治疗期间发生嵌顿性脐疝的病例。主要在日本报道的AS治疗脐疝在观察性研究中显示出优异的效果，并且可以在全球广泛应用。然而，我们的病例显示存在一个值得注意的并发症；除了蜂窝织炎和皮肤溃疡相关穿孔等皮肤并发症外，嵌顿性脐疝与AS有关。为了尽量减少与AS治疗脐疝相关的这些并发症的发生，至关重要的是要向家庭成员充分解释并指导他们正确管理AS，并在AS期间出现异常时及时就医。
