A 2-year, 9-month-old boy had an umbilical fistula after repair of an
inguinal hernia at 8 months of age. Fistulography findings showed a du
ct running from the umbilicus toward the inguinal wound. Pathological
finding of the surgically removed fistula demonstrated graunolomatous
tissues containing silk ligature. Acquired umbilical fistula is a rare
complication of inguinal herniorrhaphy. Its clinical details as well
as a review of the previously reported four cases are presented. Copyr
ight (C) 1998 by W.B. Saunders Company.