Umbilical hernia differential diagnosis: Difference between revisions

← Older edit

VisualWikitext

Latest revision as of 20:44, 13 February 2019

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Hamid Qazi, MD, BSc [2]

Overview

Umbilical hernia must be differentiated from epigastric hernia, Spigelian hernia, and incisional hernia.

Differentiating umbilical hernia from other Diseases

Umbilical hernia must be differentiated from epigastric hernia, Spigelian hernia, and incisional hernia.^[1]^[2]^[3]

**Abdominal hernias differential table based on location**
Differential Diagnosis	Similar Features	Differentiating Features

Umbilical Hernia	On physical exam; reducible, visible with valsalva and disappears with laying flat, non- tender.	Location: Linea alba through weakened umbilical ring. Paraumbilical hernias through linea alba in the region of the umbilicus.
Epigastric hernia	On physical exam; reducible, visible with valsalva and disappears with laying flat, non- tender.	Location: Linea alba between umbilicus and xiphoid process.
Spigelian hernia	On physical exam; reducible, visible with valsalva and disappears with laying flat, non- tender.	Location: Semilunar line: along the lateral borders of rectus abdominis. Herniation typically occurs caudally (below arcuate line) due to absence of posterior rectus sheath.
Incisional hernia	On physical exam; reducible, visible with valsalva and disappears with laying flat, non- tender.	Location: Site of prior incision.

Abdominal Hernias

Abdominal wall

Groin

References

↑ "Hernia, Umbilical - PubMed - NCBI".
↑ "Hernia, Pediatric Umbilical - PubMed - NCBI".
↑ Blay, Eddie; Stulberg, Jonah J. (2017). "Umbilical Hernia". JAMA. 317 (21): 2248. doi:10.1001/jama.2017.3982. ISSN 0098-7484.

Template:WS Template:WH

[urlHernia,_Umbilical_-_PubMed_-_NCBI-1] "Hernia, Umbilical - PubMed - NCBI".

[urlHernia,_Pediatric_Umbilical_-_PubMed_-_NCBI-2] "Hernia, Pediatric Umbilical - PubMed - NCBI".

[BlayStulberg2017-3] Blay, Eddie; Stulberg, Jonah J. (2017). "Umbilical Hernia". JAMA. 317 (21): 2248. doi:10.1001/jama.2017.3982. ISSN 0098-7484.

[1]

[2]

[3]

@@ Line 1: / Line 1: @@
 __NOTOC__
-{{Umbilical hernia}}
+[[Image:Home_logo1.png|right|250px|link=https://www.wikidoc.org/index.php/Umbilical_hernia]]
 {{CMG}}; {{AE}} {{HQ}}
 ==Overview==
-Umbilical hernia must be differentiated from epigastric hernia, Spigelian hernia, and incisional hernia.
+Umbilical hernia must be differentiated from [[epigastric hernia]], [[Spigelian hernia]], and [[incisional hernia]].
 ==Differentiating umbilical hernia from other Diseases==
-*Umbilical hernia must be differentiated from epigastric hernia, Spigelian hernia, and incisional hernia.
+*Umbilical hernia must be differentiated from [[epigastric hernia]], [[Spigelian hernia]], and [[incisional hernia]].<ref name="urlHernia, Umbilical - PubMed - NCBI">{{cite web |url=https://www.ncbi.nlm.nih.gov/pubmed/29083594 |title=Hernia, Umbilical - PubMed - NCBI |format= |work= |accessdate=}}</ref><ref name="urlHernia, Pediatric Umbilical - PubMed - NCBI">{{cite web |url=https://www.ncbi.nlm.nih.gov/pubmed/29083740 |title=Hernia, Pediatric Umbilical - PubMed - NCBI |format= |work= |accessdate=}}</ref><ref name="BlayStulberg2017">{{cite journal|last1=Blay|first1=Eddie|last2=Stulberg|first2=Jonah J.|title=Umbilical Hernia|journal=JAMA|volume=317|issue=21|year=2017|pages=2248|issn=0098-7484|doi=10.1001/jama.2017.3982}}</ref>
 {| style="border: 0px; font-size: 90%; margin: 3px; width: 1000px" align="center"
 | valign="top" |
 |
 |+
-'''Abdominal hernias differential table'''
+'''Abdominal [[hernias]] differential table based on location'''
 ! style="background: #4479BA; width: 200px;" | {{fontcolor|#FFF|Differential Diagnosis}}
 ! style="background: #4479BA; width: 300px;" | {{fontcolor|#FFF|Similar Features}}
@@ Line 19: / Line 20: @@
 | style="padding: 5px 5px; background: #DCDCDC; font-weight: bold; text-align:center;" |Umbilical Hernia
 | style="padding: 5px 5px; background: #F5F5F5;" |
-* On [physical exam; history; diagnostic test; imaging], [Differential 1] {has; demonstrates} [feature 1], [feature 2], [feature 3] also observed in [disease name].
+* On physical exam; reducible, visible with [[Valsalva maneuver|valsalva]] and disappears with laying flat, non- [[Tenderness (medicine)|tender]].
-| style="padding: 5px 5px; background: #F5F5F5;" |
+| style="padding: 5px 5px; background: #F5F5F5;" |Location:
-* On [physical exam; history; diagnostic test; imaging], [Differential 1] {has; demonstrates} [feature 1], [feature 2], [feature 3] that distinguish it from [disease name].
+* [[Linea alba]] through weakened [[umbilical]] ring.
+* Paraumbilical [[Hernia|hernias]] through [[linea alba]] in the region of the [[Navel|umbilicus]].
 |-
-| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold; text-align:center;" |Epigastric hernia
+| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold; text-align:center;" |[[Epigastric hernia]]
-| style="padding: 5px 5px; background: #F5F5F5;" |
-* On [physical exam; history; diagnostic test; imaging], [Differential 1] {has; demonstrates} [feature 1], [feature 2], [feature 3] also observed in [disease name].
 | style="padding: 5px 5px; background: #F5F5F5;" |
-* On [physical exam; history; diagnostic test; imaging], [Differential 1] {has; demonstrates} [feature 1], [feature 2], [feature 3] that distinguish it from [disease name].
+* On physical exam; reducible, visible with [[Valsalva maneuver|valsalva]] and disappears with laying flat, non- [[Tenderness (medicine)|tender]].
+| style="padding: 5px 5px; background: #F5F5F5;" |Location:
+* [[Linea alba]] between [[Navel|umbilicus]] and [[xiphoid process]].
 |-
-| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold; text-align:center;" |Spigelian hernia
+| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold; text-align:center;" |[[Spigelian hernia]]
-| style="padding: 5px 5px; background: #F5F5F5;" |
-* On [physical exam; history; diagnostic test; imaging], [Differential 1] {has; demonstrates} [feature 1], [feature 2], [feature 3] also observed in [disease name].
 | style="padding: 5px 5px; background: #F5F5F5;" |
-* On [physical exam; history; diagnostic test; imaging], [Differential 1] {has; demonstrates} [feature 1], [feature 2], [feature 3] that distinguish it from [disease name].
+* On physical exam; reducible, visible with [[Valsalva maneuver|valsalva]] and disappears with laying flat, non- [[Tenderness (medicine)|tender]].
+| style="padding: 5px 5px; background: #F5F5F5;" |Location:
+* [[Semilunar hiatus|Semilunar]] line: along the lateral borders of [[Rectus abdominis muscle|rectus abdominis]].
+* [[Hernia|Herniation]] typically occurs [[Anatomical terms of location|caudally]] (below [[arcuate]] line) due to absence of [[Anatomical terms of location|posterior]] [[Rectus abdominis muscle|rectus]] sheath.
 |-
-| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold; text-align:center;" |Inceisional hernia
+| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold; text-align:center;" |[[Incisional hernia]]
 | style="padding: 5px 5px; background: #F5F5F5;" |
-* On [physical exam; history; diagnostic test; imaging], [Differential 1] {has; demonstrates} [feature 1], [feature 2], [feature 3] also observed in [disease name].
+* On physical exam; reducible, visible with [[Valsalva maneuver|valsalva]] and disappears with laying flat, non- [[Tenderness (medicine)|tender]].
-| style="padding: 5px 5px; background: #F5F5F5;" |
+| style="padding: 5px 5px; background: #F5F5F5;" |Location:
-* On [physical exam; history; diagnostic test; imaging], [Differential 1] {has; demonstrates} [feature 1], [feature 2], [feature 3] that distinguish it from [disease name].
+* Site of prior [[incision]].
-|-
-| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold; text-align:center;" |Differential 5
-| style="padding: 5px 5px; background: #F5F5F5;" |
-* On [physical exam; history; diagnostic test; imaging], [Differential 1] {has; demonstrates} [feature 1], [feature 2], [feature 3] also observed in [disease name].
-| style="padding: 5px 5px; background: #F5F5F5;" |
-* On [physical exam; history; diagnostic test; imaging], [Differential 1] {has; demonstrates} [feature 1], [feature 2], [feature 3] that distinguish it from [disease name].
 |}
-Importantly this type of hernia must be distinguished from a para-umbilical hernia which occurs in adults and involves a defect in the midline near to but not through the umbilicus. It is also important to differentiate an umbilical hernia from [[omphalocele]].
 {{familytree/start|summary=Sample 1}}
-{{familytree | | | | | | | | A01 |A01=Abdominal Hernias}}
+{{familytree | | | | | | | | A01 |A01=[[Abdominal Hernias]]}}
 {{familytree | | | | |,|-|-|-|^|-|-|-|-|-|-|-|-|-|.| | | }}
 {{familytree | | | B01 | | | | | | | | | | | | |B02 | | |B01=Abdominal wall|B02=Groin}}
 {{familytree | |,|-|^|-|v|-|-|-|v|-|-|-|.| | | | | | | | | }}
-{{familytree | D01 | | D02 | | D03 | | D04 |D01=Umbilical |D02=Epigastric|D03=Spigelian|D04=Incisional}}
+{{familytree | D01 | | D02 | | D03 | | D04 |D01=[[Umbilical]] |D02=[[Epigastric]]|D03=[[Spigelian]]|D04=[[Incisional]]}}
 {{familytree/end}}
-[[File:IMG 20180122 135707964.jpg|thumb|center|369x369px|Abdominal hernia differential [Source:Sketch courtesy of Dr. Hamid Qazi]]]
+[[File:Hernia Common Sites.png|thumb|center|369x369px|Abdominal hernia differential Source:By BruceBlaus (Own work) CC BY-SA 4.0 https://creativecommons.org/licenses/by-sa/4.0, via Wikimedia Commons]]
 ==References==
 {{reflist|2}}
+[[Category:Gastroenterology]]
+[[Category:Surgery]]
+[[Category:Pediatrics]]
+[[Category:Up-To-Date]]
 [[Category:Disease]]
-[[Category:Gastroenterology]]
 {{WS}}
 {{WH}}

Umbilical hernia differential diagnosis: Difference between revisions

Latest revision as of 20:44, 13 February 2019

Overview

Differentiating umbilical hernia from other Diseases

References

Navigation menu

Search