Umbilical hernia differential diagnosis: Difference between revisions

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Revision as of 00:34, 27 January 2018

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

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

**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]

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-'''Abdominal hernias differential table based on location'''
+'''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}}
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-{{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}}