Chapter 364 Epigastric Hernia John J. Aiken, Keith T. Oldham Epigastric hernias are ventral hernias in the midline of the abdominal wall between the xyphoid and the umbilicus. Epigastric hernias result from defects in the decussating fibers of the linea alba and are more likely congenital than acquired. Most epigastric hernias are small and asymptomatic; therefore, the true incidence is unknown, but the reported incidence in childhood varies from <1% to as high as 5%. Epigastric hernias may be single or multiple and are 2-3 times more common in males than females. The defect typically contains only preperitoneal fat without a peritoneal sac or abdominal viscera. Epigastric (incisional) hernias can occur in a previous incision site or be associated with ventricular-peritoneal shunts. Clinical Presentation Only gold members can continue reading. Log In or Register to continue Share this: Share on X (Opens in new window) X Share on Facebook (Opens in new window) Facebook Related Related posts: Rumination, Pica, and Elimination (Enuresis, Encopresis) Disorders Adolescent Pregnancy Neisseria gonorrhoeae (Gonococcus) Blastomycosis (Blastomyces dermatitidis) Stay updated, free articles. Join our Telegram channel Join Tags: Nelson Textbook of Pediatrics Expert Consult Jun 18, 2016 | Posted by admin in PEDIATRICS | Comments Off on Epigastric Hernia Full access? Get Clinical Tree
Chapter 364 Epigastric Hernia John J. Aiken, Keith T. Oldham Epigastric hernias are ventral hernias in the midline of the abdominal wall between the xyphoid and the umbilicus. Epigastric hernias result from defects in the decussating fibers of the linea alba and are more likely congenital than acquired. Most epigastric hernias are small and asymptomatic; therefore, the true incidence is unknown, but the reported incidence in childhood varies from <1% to as high as 5%. Epigastric hernias may be single or multiple and are 2-3 times more common in males than females. The defect typically contains only preperitoneal fat without a peritoneal sac or abdominal viscera. Epigastric (incisional) hernias can occur in a previous incision site or be associated with ventricular-peritoneal shunts. Clinical Presentation Only gold members can continue reading. Log In or Register to continue Share this: Share on X (Opens in new window) X Share on Facebook (Opens in new window) Facebook Related Related posts: Rumination, Pica, and Elimination (Enuresis, Encopresis) Disorders Adolescent Pregnancy Neisseria gonorrhoeae (Gonococcus) Blastomycosis (Blastomyces dermatitidis) Stay updated, free articles. Join our Telegram channel Join Tags: Nelson Textbook of Pediatrics Expert Consult Jun 18, 2016 | Posted by admin in PEDIATRICS | Comments Off on Epigastric Hernia Full access? Get Clinical Tree
