Clinical features
The clinical features of an acquired umbilical hernia include:
- five times more common in women than in men
- more common in middle age - especially the ages 35-50
- sharp pain on coughing or straining
- dragging or aching sensation - especially large hernias
- gastro-intestinal symptoms due to traction on stomach or transverse colon
- transient intestinal colic caused by subacute intestinal obstruction
- steady increase in size
- hernia soon becomes irreducible as a result of omental adhesions within the sac
- skin changes with large hernias:
- intertrigo
- necrosis
- strangulation is common in adults but not children
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