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Epigastric HerniaAka: Hypogastric hernia, Fatty Hernia of the Linea Alba

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  1. See Also
    1. Abdominal Hernia
  2. Pathophysiology
    1. Type of Ventral Hernia
    2. Consists of properitoneal fat (rarely peritoneal sac)
    3. Location
      1. Occurs through linea alba (midline)
      2. Occurs below xiphoid process and above Umbilicus
  3. Symptoms
    1. Epigastric Pain
    2. Pulling sensation on leaning backward
  4. Signs
    1. Difficult to detect in obese patients
    2. Examine patient in standing position
      1. Run finger down course of linea alba
      2. Detects small midline Nodule
  5. Differential Diagnosis: Epigastric Incarcerated Hernia
    1. Peptic Ulcer Disease
    2. Biliary Colic
  6. Management: Surgery
    1. Suture closure of defect
    2. Multiple epigastric hernia defects often exist
      1. Adequate linea alba exposure required
      2. Surgeons explore for occult hernias
  7. References
    1. Goroll (2000) Primary Care Medicine, p. 431-433
    2. Degowin (1987) Diagnostic Examination, p. 489-96
    3. Townsend (2001) Sabiston Surgery, Saunders, p. 797

Epigastric hernia NOS (C0019287)

ConceptsAnatomical Abnormality (T190)
EnglishEpigastric hernia, Fatty hernia of linea alba
Spanishhernia epigástrica, hernia epigastrica
CreditsDerived from the NIH UMLS (Unified Medical Language System)



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