{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,18]],"date-time":"2026-07-18T04:33:59Z","timestamp":1784349239769,"version":"3.55.0"},"reference-count":13,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T00:00:00Z","timestamp":1743465600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T00:00:00Z","timestamp":1743465600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,3,13]],"date-time":"2025-03-13T00:00:00Z","timestamp":1741824000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction and importance:<\/jats:title>\n                    <jats:p>Umbilical hernia (UH), quite prevalent in pediatric population, may rarely present with serious complications like incarceration or viscus organ strangulation. An incarcerated hernia is the one which cannot be reduced back whereas, strangulation results when blood supply to the entrapped tissue is compromised.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation:<\/jats:title>\n                    <jats:p>A 2-year-old female child, with history of reducible umbilical swelling since birth, presented in the emergency department with signs of acute obstruction. Examination favored an irreducible umbilical hernia to be the cause of the patient's clinical condition. Provisional diagnosis was further strengthened by emergency investigations including abdominal ultrasound and x-ray abdomen. Exploration after adequate resuscitation was planned. However, an unusual finding of intestinal perforation due to date seed was found.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>Entrapment of omentum appears to be the most common cause of obstructed UHs. Incarceration due to foreign body is rarely observed in umbilical hernias. This case highlights the importance of considering unusual etiologies in medical practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>There is relative lack of data regarding management options for obstructed umbilical hernia and this case is an effort to enrich current literature. Parental education plays a pivotal role in dealing with anxiety as well as executing proper management plan.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2025.111156","type":"journal-article","created":{"date-parts":[[2025,3,14]],"date-time":"2025-03-14T12:22:21Z","timestamp":1741954941000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Foreign body causing obstructed umbilical hernia in a 2-year-old girl; A case report"],"prefix":"10.1097","volume":"129","author":[{"given":"Rija","family":"Khalid","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ifrah","family":"Inam","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naveed","family":"Haider","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rabia","family":"Abdullah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"issue":"3","key":"R1-54-20260423","doi-asserted-by":"crossref","first-page":"212","DOI":"10.4103\/jiaps.jiaps_115_22","article-title":"Management of umbilical hernia in African children: the experience of 2146 cases.","volume":"28","author":"Ngom","year":"2023","journal-title":"J. Indian Assoc. Pediatr. Surg."},{"issue":"11","key":"R2-54-20260423","doi-asserted-by":"crossref","first-page":"1723","DOI":"10.1016\/j.jpedsurg.2017.07.016","article-title":"Management of asymptomatic pediatric umbilical hernias: a systematic review.","volume":"52","author":"Zens","year":"2017","journal-title":"J. Pediatr. Surg."},{"issue":"1","key":"R3-54-20260423","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1016\/j.suc.2016.08.010","article-title":"Incarcerated pediatric hernias","volume":"97","author":"Abdulhai,","year":"2017","journal-title":"Surg. Clin. 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Surg."},{"issue":"3","key":"R9-54-20260423","doi-asserted-by":"crossref","first-page":"68","DOI":"10.3390\/pediatric12030017","article-title":"Incarcerated umbilical hernia in a 14-month-old female: a rare case of bowel strangulation","volume":"12","author":"Kepertis,","year":"2020","journal-title":"Pediatr Rep."},{"key":"R10-54-20260423","doi-asserted-by":"crossref","first-page":"271","DOI":"10.1007\/978-88-470-2339-0_24","article-title":"Foreign body ingestion and rectal foreign body insertion: di- agnostic challenges","author":"Pinto,","year":"2012","journal-title":"Err Radiology"},{"key":"R11-54-20260423","article-title":"Omentum in the pediatric umbilical hernia: is it a potential alarm for the appearance of complications?","volume":"2012","author":"Sinopidis,","year":"2012","journal-title":"Case Rep Pediatr."},{"issue":"3","key":"R12-54-20260423","doi-asserted-by":"crossref","first-page":"rjac052","DOI":"10.1093\/jscr\/rjac052","article-title":"Incarcerated umbilical hernia in a 22-month-old child","volume":"17;2022","author":"Saifee,","year":"2022","journal-title":"J Surg Case Rep."},{"issue":"3","key":"R13-54-20260423","doi-asserted-by":"crossref","first-page":"25","DOI":"10.21699\/ajcr.v7i3.439","article-title":"Intestinal perforation in obstructed umbilical hernia due to wedged plum seed","volume":"7","author":"Gupta,","year":"2016","journal-title":"APSP J Case Rep."}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261225003426?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261225003426?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2025.111156","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T21:02:34Z","timestamp":1776978154000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2025.111156"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4]]},"references-count":13,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2025.111156","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2025,4]]},"assertion":[{"value":"2025-02-02","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-03-13","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}