Ultrasonography of epigastric bulging

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Author: Mikael Häggström [notes 1]

Epigastric bulging.jpg


How soon

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

Further workup of epigastric hernia

  • Location
  • 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.

Further workup of incidental superficial soft tissue findings

See Ultrasonography of superficial soft tissues.


  1. For a full list of contributors, see article history. Creators of images are attributed at the image description pages, seen by clicking on the images. See Radlines:Authorship for details.
  2. NU Hospital Group, Sweden


  1. Benjamin, D.R.; Van de Water, A.T.M; Peiris, C.L. (March 2014). "Effects of exercise on diastasis of the rectus abdominis muscle in the antenatal and postnatal periods: a systematic review ". Physiotherapy 100 (1): 1–8. doi:10.1016/j.physio.2013.08.005. PMID 24268942.