Hernia: Difference between revisions
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{{CMG}}; {{AE}} {{EG}} | {{CMG}}; {{AE}} {{EG}} | ||
=Overview= | =Overview= | ||
Hernia is abnormal protrusion of an organ through another one. Hernias may be congenital or acquired. Based on the protruded organ and the location of the protrusion, the hernia would be classified into inguinal, femoral, umbilical, diaphragmatic, incisional, and other hernias. | Hernia is abnormal protrusion of an [[organ]] through another one. Hernias may be [[Congenital disorder|congenital]] or [[acquired]]. Based on the protruded organ and the location of the protrusion, the hernia would be classified into [[Inguinal hernia|inguinal]], [[Femoral hernia|femoral]], [[Umbilical hernia|umbilical]], [[Diaphragmatic hernia|diaphragmatic]], [[Incisional hernia|incisional]], and other hernias. Different kinds of hernias, such as [[central nervous system|central nervous system (CNS)]], [[diaphragmatic hernia|diaphragmatic]], [[lumbar]], [[abdominal]], and [[pelvic]] hernias have to be differentiated upon various history, symptoms, and [[physical examination]] findings. | ||
=Classification= | =Classification= | ||
=== Major classification of hernias in human body. === | |||
{{familytree/start}} | {{familytree/start}} | ||
{{familytree | | | | | | | | | | | | | | | | | | | A01 | | | | | | | | | | | | | | | | | | | | | | | |A01='''[[Hernia]]'''}} | {{familytree | | | | | | | | | | | | | | | | | | | A01 | | | | | | | | | | | | | | | | | | | | | | | |A01='''[[Hernia]]'''}} | ||
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{{familytree | | | B01 | | | | | | B02 | | | | | | B03 | | B04 | | | | | | | | B05 | | | | | | | | | |B01='''''[[CNS]]'''''|B02='''''[[diaphragmatic hernia|Diaphragmatic]]'''''|B03='''''[[Lumbar]]'''''|B04='''''[[Abdominal]]'''''|B05='''''[[Pelvic]]'''''}} | {{familytree | | | B01 | | | | | | B02 | | | | | | B03 | | B04 | | | | | | | | B05 | | | | | | | | | |B01='''''[[CNS]]'''''|B02='''''[[diaphragmatic hernia|Diaphragmatic]]'''''|B03='''''[[Lumbar]]'''''|B04='''''[[Abdominal]]'''''|B05='''''[[Pelvic]]'''''}} | ||
{{familytree | |,|-|^|-|.| | | |,|-|^|-|.| | | |,|-|^|-|.| |!| |,|-|-|-|v|-|-|-|+|-|-|-|v|-|-|-|.| | |}} | {{familytree | |,|-|^|-|.| | | |,|-|^|-|.| | | |,|-|^|-|.| |!| |,|-|-|-|v|-|-|-|+|-|-|-|v|-|-|-|.| | |}} | ||
{{familytree | C01 | | C11 | | C02 | | C03 | | C04 | | C05 |!| C06 | | C07 | | C08 | | C09 | | C10 | |C01=[[Brain hernia]]|C02=[[Hiatal hernia]]|C03=[[Sliding hernias of the stomach|Sliding hernia]]|C04=[[Petit's hernia]]|C05=[[Grynfeltt's hernia]]|C06=[[Inguinal hernia]]|C07=[[Obturator hernia]]|C08=[[Perineal hernia]]|C09=[[Femoral hernia]]|C10=[[Sciatic hernia]]|C11=[[Lumbar disc herniation]]}} | {{familytree | C01 | | C11 | | C02 | | C03 | | C04 | | C05 |!| C06 | | C07 | | C08 | | C09 | | C10 | |C01=[[Brain hernia]]|C02=[[Hiatal hernia]]|C03=[[Sliding hernias of the stomach|Sliding hernia]]|C04=[[Petit's hernia]]|C05=[[Grynfeltt's hernia]]|C06=[[Inguinal hernia]]|C07=[[Obturator hernia]]|C08=[[Perineal hernia]]|C09=[[Femoral hernia]]|C10=[[Sciatic hernia]]|C11=[[Lumbar disc herniation|Lumbar disc hernia]]}} | ||
{{familytree | | | | | | | | | | | | | | | | | | | | | | | |!| | | | | | | | | | | | | | | | | | | | |}} | {{familytree | | | | | | | | | | | | | | | | | | | | | | | |!| | | | | | | | | | | | | | | | | | | | |}} | ||
{{familytree | | | | | | | | | |,|-|-|-|v|-|-|-|v|-|-|-|v|-|^|-|v|-|-|-|v|-|-|-|v|-|-|-|.| | | | | | |}} | {{familytree | | | | | | | | | |,|-|-|-|v|-|-|-|v|-|-|-|v|-|^|-|v|-|-|-|v|-|-|-|v|-|-|-|.| | | | | | |}} | ||
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=Differential Diagnosis= | =Differential Diagnosis= | ||
* Different kinds of hernias, such as [[ | * Different kinds of hernias, such as [[central nervous system|central nervous system (CNS)]], [[diaphragmatic hernia|diaphragmatic]], [[lumbar]], [[abdominal]], and [[pelvic]] hernias have to be differentiated upon various history, symptoms, and physical examination findings. | ||
<small> | <small> | ||
{| | {| |
Revision as of 20:33, 30 January 2018
Hernia Landing page |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Eiman Ghaffarpasand, M.D. [2]
Overview
Hernia is abnormal protrusion of an organ through another one. Hernias may be congenital or acquired. Based on the protruded organ and the location of the protrusion, the hernia would be classified into inguinal, femoral, umbilical, diaphragmatic, incisional, and other hernias. Different kinds of hernias, such as central nervous system (CNS), diaphragmatic, lumbar, abdominal, and pelvic hernias have to be differentiated upon various history, symptoms, and physical examination findings.
Classification
Major classification of hernias in human body.
Differential Diagnosis
- Different kinds of hernias, such as central nervous system (CNS), diaphragmatic, lumbar, abdominal, and pelvic hernias have to be differentiated upon various history, symptoms, and physical examination findings.
Location | Diseases | History and Symptoms | Physical Examination | Laboratory Findings | Definition | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Neurological | GI | Neurological | GI | ||||||||||||
Confusion | Paresthesia | Dysphagia | Heartburn | Nausea | Bowel habits | Loss of Consciousness | Straight leg raise (SLR) | Mass protrusion | Tenderness/Rebound tenderness | Leukocytosis | CRP | ESR | |||
Brain | Brain hernia | + | + | + | - | + | - | + | - | - | - | - | - | - | Brain tissue herniation through foramen magnum |
Diaphragmatic | Hiatal hernia | - | - | + | + | + | - | - | - | - | - | - | + | - | Stomach herniation through diaphragm |
Sliding hernia | - | - | + | + | + | - | - | - | - | - | - | - | - | Esophagus herniation through diaphragm | |
Lumbar | Lumbar disc hernia | - | + | - | - | - | - | - | + | - | - | - | - | - | Nucleus pulposus herniation through annulus fibrosus |
Abdominal | Umbilical hernia | - | - | - | - | + | + | - | - | + | + | + | + | - | Bowels herniation through umbilicus |
Epigastric hernia | - | - | - | + | + | + | - | - | + | + | + | + | - | Bowels herniation through epigastric abdominal wall | |
Spigelian hernia | - | - | - | - | + | + | - | - | + | + | + | + | - | Bowels herniation through lateral abdominal wall | |
Amyand's hernia | - | - | - | - | + | + | - | - | + | + | + | + | - | Appendix vermiformis herniation through abdominal wall | |
Littre's hernia | - | - | - | - | + | + | - | - | + | + | + | + | - | Meckel's diverticulum herniation through abdominal wall | |
Richter's hernia | - | - | - | - | + | + | - | - | + | + | + | + | + | Bowels herniation and strangulation through abdominal wall | |
Parastomal hernia | - | - | - | - | + | + | - | - | + | + | + | + | + | Bowels herniation through stoma in the abdominal wall | |
Pelvic | Inguinal hernia | - | - | - | - | - | + | - | - | + | + | - | - | - | Bowels herniation through inguinal ring |
Obturator hernia | - | + | - | - | - | + | - | - | - | + | - | - | - | Viscera herniation through obturator canal | |
Perineal hernia | - | - | - | - | - | + | - | - | + | + | + | - | - | Viscera herniation through pelvic floor | |
Femoral hernia | - | + | - | - | - | + | - | - | + | + | - | - | - | Bowels herniation through femoral ring | |
Sciatic hernia | - | + | - | - | - | + | - | + | - | + | + | - | + | Viscera herniation through sciatic canal |