Umbilical hernia physical examination

Umbilical hernia Microchapters
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Physical Examination

Appearance of the Patient

(Images courtesy of Charlie Goldberg, M.D., UCSD School of Medicine and VA Medical Center, San Diego, California)

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  Umbilical Hernia: Protrusion of intra-abdominal contents through defect in posterior fascia.
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  Umbilical Hernia: In this case the increase in size seen in the picture on the right is caused by asking the patient to perform the valsalva maneuver.
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  Huge Umbilical Hernia: Umbilical hernia exacerbated by refractory ascites. Advanced liver disease precluded operative repair in this case.
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  Incarcerated Umbilical Hernia: Note reddened umbilical area resulting from entrapment of intra-abdominal contents in hernia. When this occurred, the patient developed acute pain in this region.