Unusual Case of Paraumbilical Hernia with Appendix as Content

Umbilical hernia is a common presentation to the surgeon, often on a non emergent basis for a bulge at or lateral to the umbilicus but occasionally under emergency circumstances for pain or bowel obstruction when the hernia contents become incarcerated or strangulated. Risk factors for umbilical hernia include female gender, obesity, and as cites. A defect in the abdominal wall fascia at the umbilicus allows the preperitoneal adipose tissue, omentum, or small or large bowel to protrude through the defect.1 We present a case of a strangulated umbilical hernia containing appendix as hernial content in a morbidly obese female who underwent Exploratory Laparotomy and hernial repair was done.