A Case of Giant Incarcerated Umbilical Hernia with Strangulation and Necrosis of Two Loops of the Small Intestine

Abstract

We report a case of giant incarcerated umbilical hernia with strangulation and necrosis of two loops of the small intestine. A 63-year-old woman was admitted to our hospital because of swelling and pain of the umbilical region. We diagnosed her with strangulated umbilical hernia, necrosis, perforation and diffuse peritonitis, and performed emergency surgery. We extirpated 150 centimeters of the small intestine and ileocecum that exhibited hemostasis and necrosis. Umbilical hernia is a rare hernia that can occur often in middle-aged-woman. This is a very rare case of strangulated multiple hernias. In cases of strangulated hernia that exist with chronic hernia it is easy to develop multiple impactions.