Hernia of the umbilical cord associated with type IIIa ileal atresia: A case report.

INTRODUCTION

Hernia of the umbilical cord and ileal atresia are rare congenital anomalies, each with distinct pathophysiology. The concurrence of these conditions is rarely reported and poses diagnostic and surgical challenges. This highlights the necessity for increased prenatal vigilance and may inform enhanced surgical planning in analogous situations.

PRESENTATION OF CASE: We report the case of a 12-hour-old female neonate born with an umbilical protrusion containing bowel loops and exhibiting signs of intestinal obstruction. Prompt surgical intervention was performed. Surgical exploration revealed type IIIa ileal atresia, and the umbilical defect was classified as a hernia of the umbilical cord.

DISCUSSION: Hernia of the umbilical cord occurs when the umbilical ring fails to close during embryological development, allowing a bowel segment to herniate into the cord. Type IIIa ileal atresia is a severe form of intestinal atresia caused by an in utero vascular accident. Both conditions may coexist, with few reported cases. This necessitates early diagnosis and surgical management.

CONCLUSION

This case highlights the significance of comprehensive prenatal imaging for suspected umbilical malformations, the necessity of immediate surgical assessment for obstructed bowel, and the relevance of recognizing uncommon yet dangerous concomitant gastrointestinal defects.