Umbilical hernia differential diagnosis: Difference between revisions

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Revision as of 21:11, 29 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 wall

Groin

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 ==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><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>
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