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Umbilical Hernia

 Syn. Periumbilical hernia

Signs & Symptoms

 Increased intraabdominal pressure Gr. Female
Ref: Uptodate [ Overview of abdominal wall hernia in adults]
Spontaneous resolution of the defect Gr. children
Ref: Uptodate [ Care of the umblicus and management of umblical disorders] Epocrates [ Pathophysiology]
Low Infancy weighting Gr. Infants
Note: < 1500 g
Ref: Epocrates [ Epidemiology]
Bulging becomes larger when infant strains
Note: due to Increased intraabdominal pressure
Ref: Uptodate [ Care of the umbilicus and management of umbilical disorders] Epocrates [ Key factors]

Physical Examination

 Increased intraabdominal pressure Gr. Female
Ref: Uptodate [ Overview of abdominal wall hernia in adults]
Bulge at the umbilicus with intact overlying skin
Note: Parents may notice this feature in children
Ref: Uptodate [ Care of the umblicus and management of umblical disorders] Epocrates [ Key factors]
Well-defined rim of fascia with central defect
Note: Digital exam
Ref: Uptodate [ Care of the umblicus and management of umblical disorders] Epocrates [ Key factors]

Lab / Serology

Imagin Study

Complication

 Umbilical infection
Note: due to Surgery, due to adhesive taping, Most common postoperative complications
Ref: Uptodate [ Care of the umblicus and management of umblical disorders] Epocrates [ Key highlights/key factors]
Umbilical bleeding
Note: due to Surgery, Most common postoperative complications
Ref: Epocrates [ Key highlights/key factors]
Umbilical maceration
Note: due to Adhesive taping
Ref: Uptodate [ Care of the umblicus and management of umblical disorders]

Risk Factors

 Pregnant
Ref: Uptodate [ Overview of abdominal wall hernia in adults]
African
Ref: Epocrates [ Epidemiology]
Black ethnicity
Ref: Epocrates [ Epidemiology]

Cause

 Umbilical ring failure to close
Ref: Uptodate [ Care of the umblicus and management of umblical disorders] Epocrates [ Umblical hernia:tiology]

Other