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, incisional hernia, and omphalocele.
Differentiating umbilical hernia from other Diseases
- Umbilical hernia must be differentiated from epigastric hernia, Spigelian hernia, incisional hernia, and omphalocele.
Abdominal hernias differential table
| Diseases | History and Symptoms | Physical Examination | Other Findings | ||||||
|---|---|---|---|---|---|---|---|---|---|
| Bulge present | Finding 3 | Finding
4 |
Physical Finding 1 | Physical Finding 2 | Physical Finding 3 | Physical Finding 4 | |||
| Umbilical Hernia | + | ||||||||
| Epigastric Hernia | - | ||||||||
| Spigelian hernia | ↓ | ||||||||
| Incisional hernia | |||||||||
| Omphalocele | |||||||||
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 | ||||||||||||||||||||||||||||||||||||||||||