Umbilical hernia differential diagnosis

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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.

Preferred Table

Diseases	History and Symptoms				Physical Examination				Laboratory Findings				Other Findings
	Finding 1	Finding 2	Finding 3	Finding 4	Physical Finding 1	Physical Finding 2	Physical Finding 3	Physical Finding 4	Lab Test 1	Lab Test 2	Lab Test 3	Lab Test 4
Differential Diagnosis 1			+
Differential Diagnosis 2	↑			-
Differential Diagnosis 3		↓
Differential Diagnosis 4
Differential Diagnosis 5

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.

Abdominal Hernias

Abdominal wall

Groin

Umbilical

Epigastric

Spigelian

Incisional