Acute Perforated Appendix Mimicking Umbilical Hernia: A Rare
Abstract

The contents of umbilical hernia are usually omentum or bowel. Unexpected contents cause confusion in the diagnosis, especially when inflamed, and may mimic a strangulated umbilical hernia. Only four cases of appendicitis within an umbilical hernia have been reported. We reported a case of perforated appendicitis in to the abdominal wall at umbilicus presenting as strangulated umbilical hernia...

http://www.avensonline.org/fulltextarticles/JCMCR-2332-4120-03-0023.html
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