Ultrasonography of epigastric bulging
Within 2 months in Swedish healthcare.[notes 2]
Scroll through the epigastric area in the axial plane without and with valsalva maneuver (to better detect a hernia), as well as when doing a partial situp (in order to better visualize any diastasis recti).
Main differential diagnoses
Diastasis recti, commonly defined as a gap of roughly 2.7 cm or greater between the two sides of the rectus abdominis muscle
Further workup of epigastric hernia
- Size of the protrusion opening, as well as of the hernia sac.
- Any increase in standing or valsalva.
- Any intestinal content.
- Ability to reduce by pressure.
Further workup of diastasis recti
Maximal measurement between the rectus abdominis muscles.