Umbilical hernia natural history, complications and prognosis: Difference between revisions

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{{Umbilical hernia}}
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{{Umbilical hernia}}
==Overview==
Umbilical [[Hernia|hernias]] are usually asymptomatic and resolve on their own. Common [[Complication (medicine)|complications]] of umbilical [[hernia]] include [[Strangling|strangulation]], incarceration, [[skin]] color changes, and [[ascites]].


{{CMG}}
==Natural History==
The natural history, [[Complication (medicine)|complications]], and prognosis of umbilical [[hernia]] are as follows:<ref name="BlayStulberg2017">{{cite journal|last1=Blay|first1=Eddie|last2=Stulberg|first2=Jonah J.|title=Umbilical Hernia|journal=JAMA|volume=317|issue=21|year=2017|pages=2248|issn=0098-7484|doi=10.1001/jama.2017.3982}}</ref><ref name="urlHernia, Umbilical - PubMed - NCBI">{{cite web |url=https://www.ncbi.nlm.nih.gov/pubmed/29083594 |title=Hernia, Umbilical - PubMed - NCBI |format= |work= |accessdate=}}</ref><ref name="urlHernia, Pediatric Umbilical - PubMed - NCBI">{{cite web |url=https://www.ncbi.nlm.nih.gov/pubmed/29083740 |title=Hernia, Pediatric Umbilical - PubMed - NCBI |format= |work= |accessdate=}}</ref>


==Overview==
*Umbilical [[Hernia|hernias]] are usually asymptomatic.
*Resolve on their own
*If umbilical hernia become [[Hernia|incarcerated]] then the following symptoms develop in any decade of life:
**[[Bile|Bilious]] [[Nausea and vomiting|emesis]]
**[[Tenderness]]
**Hard protruding [[mass]]
**Thinning of the overlying [[skin]]
**[[Ascites]]


==Complications==
==Complications==
*Common [[Complication (medicine)|complications]] of umbilical hernia include:
**[[Strangling|Strangulation]]
**Thinning of the overlying [[skin]]
**Uncontrollable [[ascites]]
**[[Hernia|Incarceration]]


Strangulation of [[bowel]] tissue is rare but serious, and needs immediate surgery.
==Prognosis==
*[[Prognosis]] is generally excellent for patients with umbilical hernia.


==Prognosis==
==References==
{{reflist|2}}


Most umbilical hernias get better without treatment by the time the child is 3 - 4 years old. Those that do not close may need surgery. Umbilical
[[Category:Gastroenterology]]
hernias are usually painless.
[[Category:Surgery]]
[[Category:Pediatrics]]
[[Category:Up-To-Date]]
[[Category:Disease]]


==References==
{{WS}}
{{Reflist|2}}
{{WH}}

Latest revision as of 21:12, 29 January 2018

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Hamid Qazi, MD, BSc [2]

Overview

Umbilical hernias are usually asymptomatic and resolve on their own. Common complications of umbilical hernia include strangulation, incarceration, skin color changes, and ascites.

Natural History

The natural history, complications, and prognosis of umbilical hernia are as follows:[1][2][3]

Complications

Prognosis

  • Prognosis is generally excellent for patients with umbilical hernia.

References

  1. Blay, Eddie; Stulberg, Jonah J. (2017). "Umbilical Hernia". JAMA. 317 (21): 2248. doi:10.1001/jama.2017.3982. ISSN 0098-7484.
  2. "Hernia, Umbilical - PubMed - NCBI".
  3. "Hernia, Pediatric Umbilical - PubMed - NCBI".

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