What is an abdominal hernia?

A hernia is a protrusion of tissue from one area of the body through the wall that contains it. The abdomen is a common place for hernias to occur. Hernias may be present at birth due to incomplete closure of a structure, or they may develop later due to increased abdominal pressure pushing against a weakened area of muscle or its fibrous sheath (fascia). Inguinal hernias, which occur in about five in 100 children, more frequently in boys than girls, are the most common type of abdominal hernias( Source: PubMedHealth).

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Inguinal hernias and femoral hernias are both groin hernias, and they occur in the area between the lower abdomen and the thigh. Umbilical hernias occur directly beneath or near the navel. Hernias that occur where a surgery has taken place are called incisional hernias. Two other types of abdominal hernias, known as ventral and epigastric hernias, often occur in the middle of the abdomen, although ventral hernias can also occur in other locations in the abdomen.

Abdominal hernias typically include some of the membranous sac that encircles the abdominal organs (the peritoneum). They may also include fatty tissue and portions of the intestine. They may or may not be painful, and they are typically seen as a bulge in the abdomen, groin, labia or scrotum that increases in size over time. Most abdominal hernias are reducible as their contents can be pushed back into the abdomen, at least temporarily.

Surgery is typically required in the treatment of hernias to remove the portion of the peritoneum that is protruding through the opening, and to close and reinforce the opening. Occasionally, blood supply to the tissues protruding through the opening can be diminished, resulting in tissue “strangulation.” This is a medical emergency that requires immediate treatment to prevent tissue death. Tissue strangulation is typically accompanied by intense pain.

Intestinal strangulation is a potentially life-threatening medical emergency that requires immediate treatment to reduce the risk of bowel loss. Seek immediate medical care (call 911) if you, or someone you are with, have symptoms such as severe abdominal pain; increased swelling of a known hernia; a painful new bulge or mass; severe nausea and vomiting; inability to have bowel movements or pass gas; decreased or absent urine output; or high fever (higher than 101 degrees Fahrenheit).

Seek prompt medical care for bulges in the abdomen or groin, especially if they increase in size or become painful, or if you have been treated for an abdominal hernia but symptoms recur.

SYMPTOMS

What are the symptoms of abdominal hernia?

Some abdominal hernias occur without symptoms. A bulge may be noticed in the abdomen, groin, scrotum or labia. It may increase in size when abdominal pressure is increased, which occurs with coughing or heavy lifting. The area may be painful.

Common symptoms of abdominal hernia

Common symptoms of abdominal hernia include:

CAUSES

What causes abdominal hernia?

Some abdominal hernias may be present at birth, and these are called congenital hernias. They generally result from incomplete or inadequate closure of part of the abdominal wall. You can also develop a hernia over time in weakened areas of the abdominal wall. These may not be noticeable at first, but as abdominal pressure continues to force tissues or intestines through the opening, a lump wil... Read more about abdominal herniacauses

TREATMENTS

How is an abdominal hernia treated?

Treatment of an abdominal hernia begins with a lifelong course of regular medical consultation and care. With regular visits, your health care provider is better able to screen for various conditions, and can more promptly evaluate symptoms and your risks for developing abdominal hernia.

The only cure for abdominal hernia is surgery, typically performed when your hernia has become... Read more about abdominal herniatreatments

Medical Reviewer: Cynthia Haines, MD Last Annual Review Date: Jul 29, 2013 Copyright: © Copyright 2014 Health Grades, Inc. All rights reserved. May not be reproduced or reprinted without permission from Health Grades, Inc. Use of this information is governed by the HealthGrades User Agreement.

This Article is Filed Under: Digestive System


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