II. Pathophysiology
- Type of Ventral Hernia
- Consists of properitoneal fat (rarely peritoneal sac)
- Location
- Occurs through linea alba (midline)
- Occurs below xiphoid process and above Umbilicus
III. Symptoms
- Epigastric Pain
- Pulling Sensation on leaning backward
IV. Signs
- Difficult to detect in obese patients
- Frequently presents as Incarcerated Hernias of preperitoneal fat
- Bowel incarceration or Strangulation is rare
- Examine patient in standing position
V. Differential Diagnosis: Epigastric Incarcerated Hernia
VI. Management: Surgery
VII. References
- Goroll (2000) Primary Care Medicine, p. 431-433
- Degowin (1987) Diagnostic Examination, p. 489-96
- Stevens (2013) Crit Dec Emerg Med 27(9): 2
- Townsend (2001) Sabiston Surgery, Saunders, p. 797
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Related Studies
Concepts | Anatomical Abnormality (T190) |
ICD10 | K43.9 |
SnomedCT | 12217001, 236034007, 196900007, 196876001, 196895008, 289260002 |
English | Epigastric hernia NOS, epigastric hernia, epigastric hernia (diagnosis), Epigastric hernia, hernia epigastric, epigastric hernias, abdomen hernia epigastric, abdomen hernia epigastric (physical finding), Epigastric hernia NOS (disorder), Fatty hernia of linea alba, Epigastric hernia (disorder), Epigastric hernia (disorder) [Ambiguous] |
Dutch | hernia epigastrica |
French | Hernie épigastrique |
German | Hernia epigastrica |
Italian | Ernia epigastrica |
Portuguese | Hérnia epigástrica |
Spanish | Hernia epigástrica, hernia epigástrica, SAI, hernia epigástrica, SAI (trastorno), hernia epigástrica (concepto no activo), hernia epigástrica (trastorno), hernia epigástrica |
Japanese | 心窩部ヘルニア, シンカブヘルニア |
Czech | Epigastrická kýla |
Hungarian | Epigastrialis sérv |