Case Report of a Huge Umbilical Hernia with Blackening of the Skin

Abstract

A 75–year–old female patient with a huge black abdominal bulge and signs of shock was transported to the emergency department of our hospital. She was diagnosed as having incarcerated umbilical hernia, with necrosis of the herniated ileum. Emergency surgery with two partial ileal resections was performed. Then, we simply closed the hernia orifice, without a mesh. While it is important to perform emergency surgery as soon as possible to avoid intestinal resection in patients with incarcerated hernia, changes in the skin tone should be significantly paid attention too.