What is Diastasis Recti Abdominis?
Discussion
Ventral wall hernias are common. They can be congenital or acquired and it is estimated that approximately 25% of people will have one at some point in their life. True hernias have a fascial defect and therefore contents can protrude through and potentially become incarcerated and/or strangulated.
Common ones include:
Epigastric occurs between the sternum and umbilicus. It can appear midline or slightly off-center. In children they can spontaneously resole.
Umbilical occurs around the umbilical structures. These again often spontaneously resolve.
Spigelian occurs in anterior abdominal wall adjacent to the semilunar line lateral to the rectus abdominus muscles. Most are in the lower abdominal wall
Inguinal occurs in the inguinal canals
Femoral occurs in the deeper femoral canals
Lumbar occurs through a defect of the posterolateral abdominal wall
Incisional – occurs within the surgical incision.
Parastomal – occurs near an created opening (like an incision) in the abdominal wall such as a stomal appliance or other surgery or trauma.
Gastroschisis occurs when there is abnormal development of the umbilical cord ring resulting in non-closure of the anterior abdominal wall. It occurs usually left and lateral to the umbilicus. Abdominal contents are seen to protrude and are not covered by membranes.
An image of common locations can be found here
Learning Point
Diastasis recti abdominis (DRA) is an abnormal increased separation between the rectus abdominus m...
Source: PediatricEducation.org - Category: Pediatrics Authors: Pediatric Education Tags: Uncategorized Source Type: news
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