Transverse colon in adult umbilical hernia

The transverse colon may extend into an umbilical or other ventral hernia. An unusual configuration, extra anterior loops, outpouchings, narrowing, or nonmalignant-appearing obstruction in the involved segment of the colon should suggest possible herniation. Clinical or radiographic confirmation is easily accomplished. Five cases are presented to illustrate some of the deformities of the transverse colon due to involvement in an umbilical hernia.