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Hérnia umbilical em crianças

Last reviewed: 11 Aug 2025
Last updated: 15 Jun 2023

Summary

Definition

History and exam

Key diagnostic factors

  • presença de fatores de risco
  • presença desde o nascimento
  • protuberância no umbigo
  • alteração no tamanho/tensão durante o movimento
  • alterações cutâneas
  • saco herniário facilmente redutível
  • borda da fáscia bem-definida com defeito central
  • diâmetro variável do defeito
  • sintomas de obstrução do intestino delgado
Full details

Other diagnostic factors

  • desconforto intermitente
Full details

Risk factors

  • baixo peso ao nascer
  • Ancestralidade africana
  • síndrome de Beckwith-Wiedemann (BWS)
  • trissomia dos cromossomos 21, 18, 13
  • hipotireoidismo congênito
  • mucopolissacaridose
Full details

Diagnostic investigations

1st investigations to order

  • o diagnóstico é clínico
Full details

Treatment algorithm

ACUTE

hérnia encarcerada

ONGOING

hérnia grande ou sintomática

hérnia pequena e assintomática

Contributors

Authors

Charles L. Snyder, MD

Professor of Surgery

Chief, Section of Surgery

University of Missouri-Kansas City

Children's Mercy Hospital

Kansas City

MO

USA

Disclosures

CLS declares that he has no competing interests.

Acknowledgements

Dr Charles L. Snyder wishes to gratefully acknowledge Dr Charles M. Leys, a previous contributor to this topic.

Disclosures

CML declares that he has no competing interests.

Peer reviewers

Michael A. Skinner, MD

Professor and Vice Chairman

Pediatric Surgery

University of Texas Southwestern Medical Center

Dallas

TX

USA

Disclosures

MAS declares that he has no competing interests.

Bangalore S. Ramanand, MS, DNB, FRCS, MSC

Locum Consultant Surgeon

Glan Clwyd Hospital

Rhyl

UK

Disclosures

BSR declares that he has no competing interests.

LS Wong, MB ChB

Consultant Surgeon

Honorary Associate

Professor of Surgery

University Hospitals Coventry

UK

Disclosures

LSW declares that he has no competing interests.

Emmanuel Atta Agaba, MD, FRCS, FACS

Fellow in Minimally Invasive Surgery

Montefiore Medical Center at Albert Einstein College of Medicine

Bronx, New York City

NY

USA

Disclosures

EAA declares that he has no competing interests.

Peer reviewer acknowledgements

BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.

Disclosures

Peer reviewer affiliations and disclosures pertain to the time of the review.

References

Our in-house evidence and editorial teams collaborate with international expert contributors and peer reviewers to ensure that we provide access to the most clinically relevant information possible.

Key articles

Vohr BR, Rosenfield AG, Oh W. Umbilical hernia in the low-birth-weight infant (less than 1,500 gm). J Pediatr. 1977 May;90(5):807-8. Abstract

Bowling K, Hart N, Cox P, et al. Management of paediatric hernia. BMJ. 2017 Oct 19;359:j4484. Abstract

Halpern LJ. Spontaneous healing of umbilical hernias. JAMA. 1962 Nov 24;182(8):851-2. Abstract

Reference articles

A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.

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