Illustrative CasesUncommon Complication of Pediatric Umbilical Hernia-Spontaneous Evisceration Case Report and Literature ReviewChouikh, Taieb MD∗; Echaieb, Anis∗; Belkhir, Dahmane∗; Audry, Georges†; Raquillet, Claire∗Author Information From the ∗Department of Paediatric Surgery, Hopital Robert Ballanger, Aulnay sous Bois †Department of Paediatric Surgery, Hopital Armand Trousseau, Paris, France. Disclosure: The authors declare no conflict of interest. Reprints: Taieb Chouikh, MD, Hopital Robert Ballanger, BD Robert Ballanger, Service de Chirurgie Pédiatrique, Bat 25, 2 eme étage, Aulnay sous Bois 93600, France (e-mail: firstname.lastname@example.org). Pediatric Emergency Care: September 2020 - Volume 36 - Issue 9 - p e527-e529 doi: 10.1097/PEC.0000000000002200 Buy Metrics Abstract The umbilical hernia is common in children. Most of the cases have a spontaneous regression around the age of 3 years. Complications are very rare, and thus surgery is not routinely indicated before the age of 3 years. We report an exceptional case of spontaneous rupture of an umbilical hernia with emphasis on the management of this rare complication and a literature review of similar cases. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.