Last reviewed: November 2017
Last updated: July  2017

Summary

Definition

History and exam

Key diagnostic factors

  • presence of risk factors
  • present since birth
  • bulge at the umbilicus
  • change in size/tension during movement
  • symptoms of small bowel obstruction
  • skin changes
  • easily reducible hernial sac
  • well-defined rim of fascia with central defect
  • variable diameter of defect

Other diagnostic factors

  • intermittent discomfort

Risk factors

  • low birth weight (<1500g)
  • African/African-American ancestry
  • Beckwith-Wiedemann syndrome (BWS)
  • trisomy 21, 18, 13
  • congenital hypothyroidism
  • mucopolysaccharidoses

Diagnostic investigations

Treatment algorithm

Contributors

Authors VIEW ALL

Professor of Surgery

Chief, Section of Surgery

University of Missouri-Kansas City

Children's Mercy Hospital

Kansas City

MO

Disclosures

CLS declares that he has no competing interests.

Associate Professor of Surgery

University of Wisconsin School of Medicine and Public Health

American Family Children's Hospital

Madison

WI

Disclosures

CML declares that he has no competing interests.

Peer reviewers VIEW ALL

Professor and Vice Chairman

Pediatric Surgery

University of Texas Southwestern Medical Center

Dallas

TX

Disclosures

MAS declares that he has no competing interests.

Locum Consultant Surgeon

Glan Clwyd Hospital

Rhyl

UK

Disclosures

BSR declares that he has no competing interests.

Consultant Surgeon

Honorary Associate

Professor of Surgery

University Hospitals Coventry

UK

Disclosures

LSW declares that he has no competing interests.

Fellow in Minimally Invasive Surgery

Montefiore Medical Center at Albert Einstein College of Medicine

Bronx, New York City

NY

Disclosures

EAA declares that he has no competing interests.

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