//fpnotebook.com/
Epigastric Hernia
Aka: Epigastric Hernia, Hypogastric hernia, Fatty Hernia of the Linea Alba
- See Also
- Hernia
- Inguinal Hernia
- Inguinal Hernia in Children
- Sports Hernia
- Inguinal Hernia
- Femoral Hernia
- Umbilical Hernia
- Paraumbilical Hernia
- Incisional Hernia
- Spigelian Hernia
- Diastasis Recti
- Hernia Reduction
- 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
- Symptoms
- Epigastric Pain
- Pulling Sensation on leaning backward
- 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
- Run finger down course of linea alba
- Detects small midline Nodule
- Hernias are typically small (<1 cm)
- Differential Diagnosis: Epigastric Incarcerated Hernia
- Peptic Ulcer Disease
- Biliary Colic
- Management: Surgery
- Suture closure of defect
- Multiple Epigastric Hernia defects often exist
- Adequate linea alba exposure required
- Surgeons explore for occult Hernias
- 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