Spontaneous rupture of umbilical hernia with evisceration of small bowel in an infant: A case report.

INTRODUCTION: Umbilical hernia is a condition that frequently affects children, with the majority resolving spontaneously. The appearance of redness, ulceration, or a sudden increase in the size of the umbilical hernia is indicative of a threatening rupture and suggests the requirement for surgical intervention. We hereby present a case of spontaneous umbilical hernia rupture with bowel evisceration. A PRESENTATION OF THE CASE: a 6-month-old infant was admitted to the hospital due to rupture of the umbilical hernia and intestinal evisceration. Following an assessment, a primary resuscitative approach was applied, including wet dressing of the bowel. A segment of the small bowel loop had a compromised blood supply at the time of the operation, so resection with a hand-sewn anastomosis was performed. No other abnormality was identified intraoperatively, and the abdomen was closed. The baby was discharged after a remarkable recovery. CLINICAL DISCUSSION: Umbilical hernia in infants is a common condition and may present with serious complications in less common occurrences, including rupture and intestine evisceration, as in our case. By publishing this case, we hope to raise the awareness of physicians regarding the early detection of such complications and urgent consultation with pediatric surgeons. CONCLUSION: It is important for both the parents and the clinicians to be aware of these red flags and to seek immediate consultation from a pediatric surgeon for timely intervention. This will help to lessen the severity of the complications that could otherwise put the infant at a higher risk for morbidity.

Annular pancreas causing duodenal obstruction in a 23 year old women managed surgically for gastrojejunostomy; a case report.

INTRODUCTION: Annular pancreas is an uncommon congenital abnormality characterized by a ring of pancreatic tissue around the duodenum descending part. It is exceptionally rare in adults and is increasingly detected after the investigation of symptoms caused by its consequences, which include recurrent pancreatitis, duodenal stenosis at the site of the annulus, or duodenal or gastric ulcers. In this study, we present a case report of symptomatic annular pancreas in an adult patient. PRESENTATION OF CASE: A 23-year-old woman hospitalized for epigastric pain and recurrent vomiting. Radiological examination was consistent with an annular pancreas. At operation, a partial obstruction of the second part of the duodenum was found, caused by an annular pancreas. No other congenital anomaly of the intra-abdominal organs was noted. A gastrojejunostomy was performed and she was discharged after 8 days with good recovery. CONCLUSION: Because annular pancreas in adults is a rare clinical scenario, it should be included in the differential diagnosis of adult patients with gastrointestinal obstructive symptoms for a prolonged period of time, given that surgical intervention has a reliable outcome.