What Types of Abdominal Wall Defects Are There?
Discussion
Abdominal wall defects are common in pediatric and adult patients. Pediatric patients not surprisingly have more congenital defects and adults have more that are spontaneously acquired and some are due to surgeries. Adults often have more complications of their defects also. Defects are usually classified by location.
Learning Point
Types of abdominal wall defects include:
Congenital or Spontaneous
Epigastric
Rectus muscles fail to approximate at the linea alba between the umbilicus and xyphoid process. Usually presents as painless bulge
Occurs to 5% of children
Incarceration is uncommon in children but much more common in adults
Usually repaired
Umbilical hernia
Umbilicus fails to close in first weeks of infancy
Occurs in 10-20% of children
Usually close by 2-3 years
Incarceration and strangulation are rare in children but more common in adults.
Repair usually around 3-5 years
For more information about umbilical hernias, click here.
For a differential diagnosis of umbilical masses, click here.
Groin hernia – inguinal and femoral hernias
Inguinal hernias occurs in about 1-5% of infants and femoral hernias occur in < 1%
Most inguinal hernias are indirect (i.e. the hernia passes through the internal inguinal ring and down the inguinal canal); only 2% of all hernias in children are direct hernias (i.e. the hernia directly protrudes through the floor of the inguinal canal).
Incarceration and strangulation are common
These will not close and need repai...
Source: PediatricEducation.org - Category: Pediatrics Authors: pediatriceducationmin Tags: Uncategorized Source Type: news
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