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Hernia (fatty hernia of linea alba)

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

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A linea alba hernia protrudes anywhere between the xiphoid process and the umbilicus, but usually in the midline between these two structures. About 3-5% of people develop epigastric hernias. They are common between the ages of 20 and 50, and occur more often in men than in women. About 20% of the hernias are multiple and 80% occur just off the midline.

The epigastric hernia commences as a protrusion of extra-peritoneal fat where the linea alba is pierced by a small blood vessel. The swelling enlarges and drags a pouch of peritoneum with it. Frequently, the sac is empty or contains a small portion of greater omentum because the mouth of the hernia is usually small.


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The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

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