Umbilicus is a site of numerous embryopathies involving vessels, urachus, midgut herniation, anterior abdominal wall defects and congenital cysts. Abdominal wall defects can range from lethal limb-body wall syndrome to benign umbilical cord hernias (UCH), which are often misdiagnosed as omphalocele minor causing unwarranted anxiety. A meticulous evaluation of prenatal ultrasounds and palpation of the cord before clamping after the delivery are the mainstay for early and accurate diagnosis. We are illustrating a case of umbilical cord hernia (UCH) in which though the ultrasonography (USG) was unable to establish the diagnosis antinatally but the thorough clinical examination not only diagnosed but also prevented the unwarranted complication.

Keywords: Umbilical cord hernia, Ventral wall defect, Reducible swelling of cord, Umbilical embryopathies.

1. Pal K, Ashri H, Wabari A. Congenital hernia of the cord. Indian J Pediatr 2009; 76:319–21.
2. Achiron R, Soriano D, Lipitz S, et al. Fetal midgut herniation into the umbilical cord: improved definition of ventral abdominal anomaly with the use of transvaginal sonography. Ultrasound Obstet Gynecol 1995; 6:256–60.
3. Burns CW, Ogryzlo MA. Congenital hernia into the umbilical cord: two cases associate with persistent cloaca. Can Med Assoc J 1938; 39:438–41.
4. Klein M, Kosloske AM, Hertzler JH. Congenital defects of the abdominal wall: a review of the experience in New Mexico. JAMA 1981; 245:1643–6.
5. Hempel-Jorgensen P. Familial congenital umbilical hernia. Ugesk f Laeger 1929; 91:273-274.
6. Diseases of the Newborn NewYork; Oxford Medical Publication, 1937, 224-226.
7. Haas J, Achiron R, Barzilay E, et al. Umbilical cord hernias: prenatal diagnosis and natural history. J Ultrasound Med 2011; 30:1629–32.
8. Raju R, et al. Congenital hernia of cord: an often misdiagnosed entity. BMJ 2015. doi:10.1136/bcr-2015-209642.
9. Glasser J. Pediatric omphalocele and gastroschisis. 2014. http://emedicine. medscape.com/article/975583-overview (accessed 31 May 2020).
10. Stephensen C, Lockwood C, MacKenzie A. Gastroschisis. 2015. http://www.uptodate.com/contents/gastroschisis?source=search_result&search=gastroschisis&selectedTitle=1~33 (accessed 31 May 2020).
11. Khan Ali N. Omphalocele. http://emedicine.medscape.com/article/404182-overview#a22 (accessed 31 May 2020).
12. Khan Ali N. Gastroschisis. http://emedicine.medscape.com/article/403800-overview#a22 (accessed 31May 2020).

Nishant Acharya

Department of Paediatrics, Dr. RKGMC Hamirpur (H.P), India