Ventral Hernia in a 2 year old female

E. Hersh-Burdick, R. Murray, M. Westermann, J. Sperling, E. Horvitz, E. Frumin, Z. Chandy
School of Medicine, University of California Irvine, and Department of Human Biology, Stanford University, CA
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    Brief Description
 
This presentation is about ventral hernia in a 2 year old female from Old Town, Vellore, India, who presents with a ventral hernia. The hernia is more evident when the child cries or coughs. The child has had repeated upper respiratory infections and has been on antibiotics and anti-histamines. The hernia lies above the umbilicus and is therefore referred to as an epigastric hernia.

 
    Full Description
 
The child received an APGAR score of 9/10 at birth and had her first meconium in the first 24 h after birth. Patient had repeated upper respiratory infections (frequent cough) and diarrhea. In April 2008 she developed rhinitis and bronchitis after which the hernia was first noticed. Currently, patient eats well and the ventral hernia is only visible when she cries or puts her hands above her head.

Patient is the second of two daughters. The mother is pregnant with a third child and is anxious that she might have a third daughter. The father is a day laborer in Vellore.

 
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    References
 
Graf JL, Caty MG, Martin DJ, Glick PL. Pediatric hernias. Semin Ultrasound CT MR. 2002;23:197-200.

Coats RD, Helikson MA, Burd RS. Presentation and management of epigastric hernias in children. J Pediatr Surg. 2000;35:1754-6

Islam S. Clinical care outcomes in abdominal wall defects. Curr Opin Pediatr. 2008;20:305-10

 
 
 
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Aug 13, 2009 1497 VA:08:13:1627:2009
 
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