Ultrasonography of epigastric bulging

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Planning

How soon

Within 2 months in Swedish healthcare.[notes 2]

Evaluation

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.

Notes

  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

References

  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.