Paediatric Genital Problems
Case Study Four - Herniae
Herniae in the umbilicus close spontaneously. Paraumbilical herniae wont close and may need surgical correction for cosmetic reasons or pain.
Inguinal herniae are important as they have a risk of bowel obstruction, and in the female of having an ovary in the herneal sac.
Infants with an inguinal hernia need urgent referral to a paediatric surgeon for herniorrhaphy within a week.
Obstruction within a hernia presents with acute onset of pain and vomiting and the hernia will become firm as the contents become oedematous.