Umbilical hernia differential diagnosis: Difference between revisions

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Revision as of 00:32, 27 January 2018

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]

**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

Umbilical

Epigastric

Spigelian

Incisional

Abdominal hernia differential [Source:Sketch courtesy of Dr. Hamid Qazi]

References

Template:WS Template:WH

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

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

[1]

[2]

@@ Line 4: / Line 4: @@
 ==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.<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>
+*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>
 {| style="border: 0px; font-size: 90%; margin: 3px; width: 1000px" align="center"
@@ Line 20: / 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; reducible, visible with valsalva and disappears with laying flat, non- tender.
+* 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 through weakened umbilical ring.
+* [[Linea alba]] through weakened [[umbilical]] ring.
-* Paraumbilical hernias through linea alba in the region of the umbilicus.
+* 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; reducible, visible with valsalva and disappears with laying flat, non- tender.
+* 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 umbilicus and xiphoid process.
+* [[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; reducible, visible with valsalva and disappears with laying flat, non- tender.
+* 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 line: along the lateral borders of rectus abdominus.
+* [[Semilunar hiatus|Semilunar]] line: along the lateral borders of [[Rectus abdominis muscle|rectus abdominis]].
-* Herniation typically occurs caudally (below arcuate line) due to absence of posterior rectus sheath.
+* [[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;" |Incisional hernia
+| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold; text-align:center;" |[[Incisional hernia]]
 | style="padding: 5px 5px; background: #F5F5F5;" |
-* On physical exam; reducible, visible with valsalva and disappears with laying flat, non- tender.
+* 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:
-* Site of prior incision.
+* Site of prior [[incision]].
 |}

Umbilical hernia differential diagnosis: Difference between revisions

Revision as of 00:32, 27 January 2018

Overview

Differentiating umbilical hernia from other Diseases

References

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