Paediatric Genital Abnormalities

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.

umbilical hernia