Complicated pantaloon umbilical hernia

Umbilical hernia is an abnormal protrusion of a whole viscus or part through the umbilical ring. Paraumbilical hernia is commonly found in adults protrude above or below the umbilicus. The occurrence of both types concurrently is described as pantaloon or saddle bag umbilical hernia. Complicated pantaloon umbilical hernia is rare. Presented was a case of complicated pantaloon umbilical hernia in a 55 year old multiparous female. Preoperative diagnosis was difficult especially in the setting of complication. Clinicians are urged to consider pantaloon umbilical hernia as a differential diagnosis of umbilical swellings.