Incarcerated umbilical hernia

Case contributed by Dr Michael P Hartung


Abdominal pain, nausea, vomiting.


High-grade small bowel obstruction with transition point at a loop of small bowel within an umbilical hernia. Distal bowel is decompressed.

Mild mesenteric edema.

Preoperative Diagnosis: Symptomatic umbilical hernia

Postoperative Diagnosis: Same 

Procedure(s): Laparoscopic converted to open small bowel resection and umbilical hernia repair. Necrotic omentum within the hernia sac was reduced.

Case Discussion

Incarcerated loop of small bowel in an umbilical hernia, resulting in high-grade small bowel obstruction. As a terminology reminder:

Incarceration: cannot reduce

Strangulated: ischemic/compromised blood flow

Case shared with me by Dr. Jeannine Ruby. 

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Case information

rID: 68232
Published: 24th May 2019
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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