Which of the following defects refers to the incomplete closure of the umbilical ring, resulting in the protrusion of the omentum and intestine through the opening?

Umbilical hernia


•An umbilical hernia is a protrusion of a portion of the intestine through the umbilical ring, muscle, and fascia surrounding the umbilical cord. This creates a bulging protrusion under the skin at the umbilicus.

•Umbilical hernias occur most frequently in African American children and more often in girls than in boys. The structure is generally 1 to 2 cm in diameter but may be as big as an orange when children cry or strain. If the defect is more than 2 cm, surgery for repair will generally be indicated to prevent intestinal strangulation or intestinal obstruction. This is usually done when the child is 4-6 years of age.

•Inguinal hernias result from incomplete closure of the tube (processus vaginalis) between the abdomen and the scrotum, leading to the descent of a portion of the intestine.

•Noncommunicating hydroceles have residual peritoneal fluid trapped within the lower segment of the processus vaginalis. A communicating hydrocele is commonly associated with hernias because the processus vaginalis remains open from the scrotum to the abdominal cavity.

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