Spontaneous Bowel Evisceration Through Umbilical Hernia Sites in Adult Patients: A Systematic Review of the Literature
Abstract
:1. Introduction
2. Materials and Methods
3. Results
- Congenital anomalies (22 records): Congenital anomalies were excluded, including cases of omphalocele, gastroschisis, and umbilical cord hernias, as these represent fundamentally different embryological defects rather than acquired spontaneous ruptures.
- Pediatric cases (23 records): All childhood presentations were removed to maintain our focus on adult pathology.
- Non-umbilical herniations (64 records): Non-umbilical herniations were removed, including vaginal, rectal, and other atypical herniation sites.
- Irrelevant content (six records): Irrelevant content was removed, including one describing umbilical hernias without evisceration, one detailing parastomal hernias, and four involving animal studies.
- Off-topic publications (24 records): Off-topic publications were removed, including incisional hernia complications (8 records), non-umbilical eviscerations (8 records), post-traumatic cases (3 records), and surgical technique papers (5 records).
- Practical exclusions: Non-English publications (19 records), duplicates (10 records), and records with unavailable data (6 records) were excluded.
4. Discussion
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Author | Age | Sex | Growth | Ulcerations | Leakage | Cirrhosis | Ascites | Viscera | Repair | Resection | Outcome |
---|---|---|---|---|---|---|---|---|---|---|---|
Arora | 42 | F | Y | N | Y | Y (Hepatic) | Y | Omentum | Suture | N | Exitus |
Arora | 40 | M | N | Y | Y | Y (Alcoholic) | Y | Omentum | Suture | N | Exitus |
Albeladi | 23 | F | Y | Y | N | Y (Hepatic) | Y | Omentum | Mesh | N | Discharged |
Bolivar R | 46 | F | Y | Y | N | N | N | Ileus | Suture | N | Discharged |
Good | 81 | M | N | Y | Y | Y (Alcoholic) | Y | Omentum | Suture | N | Discharged |
Choo | 41 | M | N | Y | Y | Y (Alcoholic) | Y | Ileus | Suture | N | Discharged |
Ginsburg | 45 | M | Y | Y | N | Y (Both) | Y | Omentum | Suture | Y | Exitus |
Ahmed | 28 | F | Y | Y | N | N | N | Ileus | Suture | Y | Discharged |
Iizuka | 42 | F | N | Y | Y | Y (Alcoholic) | Y | Ileus | Suture | N | Discharged |
Ogu | 50 | M | N | N | Y | Y (Hepatic) | Y | Ileus | Suture | N | Discharged |
Grappolini | 53 | M | N | Y | N | N | N | Ileus | Suture | Y | Discharged |
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Gianazza, S.; Grappolini, N.; Morabito, M.; Palillo, A.; Ripamonti, M.; Inversini, D. Spontaneous Bowel Evisceration Through Umbilical Hernia Sites in Adult Patients: A Systematic Review of the Literature. Clin. Pract. 2025, 15, 99. https://doi.org/10.3390/clinpract15060099
Gianazza S, Grappolini N, Morabito M, Palillo A, Ripamonti M, Inversini D. Spontaneous Bowel Evisceration Through Umbilical Hernia Sites in Adult Patients: A Systematic Review of the Literature. Clinics and Practice. 2025; 15(6):99. https://doi.org/10.3390/clinpract15060099
Chicago/Turabian StyleGianazza, Simone, Niccolò Grappolini, Marika Morabito, Andrea Palillo, Marta Ripamonti, and Davide Inversini. 2025. "Spontaneous Bowel Evisceration Through Umbilical Hernia Sites in Adult Patients: A Systematic Review of the Literature" Clinics and Practice 15, no. 6: 99. https://doi.org/10.3390/clinpract15060099
APA StyleGianazza, S., Grappolini, N., Morabito, M., Palillo, A., Ripamonti, M., & Inversini, D. (2025). Spontaneous Bowel Evisceration Through Umbilical Hernia Sites in Adult Patients: A Systematic Review of the Literature. Clinics and Practice, 15(6), 99. https://doi.org/10.3390/clinpract15060099