Pediatric Surgical Associates
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Pediatric Surgical Associates

Epigastric Hernia

The defect in the musculature of the abdominal wall occurs between the breast bone and the umbilicus, or belly button. It can allow fat or bowel to push into the tissue under the skin, appearing like a mass when the child strains or lifts their arms. Epigastric hernias do not go away on their own.


  • Abdominal bulge
  • Nausea and vomiting
  • Pain
  • Fever
  • Skin discoloration


  • Surgery is often required. 
  • If untreated, the hernia can continue to grow larger.

An Incision is made over the hernia and the defect in the muscle is closed with sutures. Once this is done the skin is closed and a dressing is applied.

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