Resumo
Definição
A hérnia umbilical é um defeito da fáscia da parede abdominal anterior que ocorre quando o anel umbilical não se fecha. O defeito propicia a protrusão de um saco peritoneal que é coberto por pele e pode apresentar conteúdo intra-abdominal, como omento ou intestino.[Figure caption and citation for the preceding image starts]: Grande hérnia umbilicalAcervo pessoal de Charles L. Snyder, MD; usado com permissão [Citation ends].
Анамнез и осмотр
Ключевые диагностические факторы
- 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
Другие диагностические факторы
- desconforto intermitente
Факторы риска
- baixo peso ao nascer
- Ancestralidade africana
- síndrome de Beckwith-Wiedemann (BWS)
- trissomia dos cromossomos 21, 18, 13
- hipotireoidismo congênito
- mucopolissacaridose
Диагностические исследования
Исследования, которые показаны в первую очередь
- o diagnóstico é clínico
Алгоритм лечения
hérnia encarcerada
hérnia grande ou sintomática
hérnia pequena e assintomática
Составители
Авторы
Charles L. Snyder, MD
Professor of Surgery
Chief, Section of Surgery
University of Missouri-Kansas City
Children's Mercy Hospital
Kansas City
MO
USA
Раскрытие информации
CLS declares that he has no competing interests.
Выражение благодарностей
Dr Charles L. Snyder wishes to gratefully acknowledge Dr Charles M. Leys, a previous contributor to this topic.
Раскрытие информации
CML declares that he has no competing interests.
Рецензенты
Michael A. Skinner, MD
Professor and Vice Chairman
Pediatric Surgery
University of Texas Southwestern Medical Center
Dallas
TX
USA
Раскрытие информации
MAS declares that he has no competing interests.
Bangalore S. Ramanand, MS, DNB, FRCS, MSC
Locum Consultant Surgeon
Glan Clwyd Hospital
Rhyl
UK
Раскрытие информации
BSR declares that he has no competing interests.
LS Wong, MB ChB
Consultant Surgeon
Honorary Associate
Professor of Surgery
University Hospitals Coventry
UK
Раскрытие информации
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
Раскрытие информации
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.
Список литературы
Основные статьи
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. Аннотация
Bowling K, Hart N, Cox P, et al. Management of paediatric hernia. BMJ. 2017 Oct 19;359:j4484. Аннотация
Halpern LJ. Spontaneous healing of umbilical hernias. JAMA. 1962 Nov 24;182(8):851-2. Аннотация
Статьи, указанные как источники
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
Отличия
- Hérnia epigástrica
- Hérnia do cordão umbilical
- Onfalocele
Больше Отличия
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