Spontaneous rupture of umbilical hernia without ascites: A case report and literature review

Abstract

Umbilical hernia is a common condition, but spontaneous rupture with omental evisceration, particularly in the absence of ascites or other risk factors, is extremely rare. We present a case of omental evisceration through a long-standing umbilical hernia in an adult male without any underlying conditions typically associated with elevated intra-abdominal pressure. The patient was treated successfully with emergency surgery, and the postoperative course was uneventful. A literature review revealed only four other reported cases of spontaneous umbilical hernia rupture without ascites in adults. Our case adds to the limited data available and emphasizes the importance of timely surgical intervention even in stable patients. Spontaneous rupture of umbilical hernias without ascites remains a rare occurrence, and this report serves to raise clinical awareness for the management of such cases in emergency settings.

Keywords

• emergency surgery
• hernia management
• omental evisceration
• spontaneous rupture
• umbilical hernia