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Umbilical Hernia
Aka: Umbilical Hernia, Paraumbilical Hernia
- See Also
- Hernia
- Inguinal Hernia
- Inguinal Hernia in Children
- Sports Hernia
- Inguinal Hernia
- Femoral Hernia
- Epigastric Hernia
- Incisional Hernia
- Spigelian Hernia
- Diastasis Recti
- Hernia Reduction
- Epidemiology
- Prevalence: 10-30%
- Pathophysiology
- Type of Ventral Hernia
- Infants
- Congenital defect in linea alba (failure to close completely at birth)
- Umbilical ring usually closes by age 12-18 months
- Repair is rarely recommended under age 3 years
- Adults (Paraumbilical Hernia): Predisposing factors
- Women with Multiparity
- Obesity
- Cirrhosis with Ascites
- Increased intrathoracic pressure (e.g. Asthma, COPD)
- African american
- Signs
- Congenital Hernia protrudes through firm collar
- Complete fibrous collar continuous with linea alba
- Palpable as firm ring
- Adult Paraumbilical Hernias
- Soft Hernia covered only by skin
- May be obscured by subcutaneous fat
- Differential Diagnosis
- Diastasis Recti
- Complications
- High risk of Incarcerated Hernia (especially men and Overweight women)
- Incarceration typically with preperitoneal fat
- Large Umbilical Hernias may entrap Large Bowel
- References
- Degowin (1987) Diagnostic Examination, p. 489-96
- Goroll (2000) Primary Care Medicine, p. 431-433
- Stevens (2013) Crit Dec Emerg Med 27(9): 2