Umbilical hernia

Last revised by Mohamed Saber on 21 Jul 2023

Umbilical hernias (alternative plural: herniae) are the most common ventral abdominal wall hernia and occur in the midline through the umbilicus.

Ten times more common in females 2 and represent ~5% of all abdominal hernias 4.

Umbilical hernias may present in the midline as a painless or painful mass. 

Umbilical hernias may be congenital or acquired 1,2:

  • congenital: physiological herniation through the umbilicus occurs during the 10th week of gestation and congenital umbilical hernias occur when there is incomplete closure of the anterior abdominal wall after the gut returns to the abdominal cavity
  • acquired: more common in adults
    • risk factors: obesity, multiparity, ascites, large intra-abdominal mass

Umbilical hernias commonly contain fat, mesentery, small and/or large bowel. 

There is a high rate of strangulation and incarceration of bowel and Richter hernias are common. Bowel obstruction is common and can be also be complicated by bowel ischemia

ADVERTISEMENT: Supporters see fewer/no ads

Cases and figures

  • Case 1
    Drag here to reorder.
  • Case 2
    Drag here to reorder.
  • Case 3: with strangulation
    Drag here to reorder.
  • Case 4
    Drag here to reorder.
  • Case 5
    Drag here to reorder.
  • Case 6: incarcerated umbilical hernia
    Drag here to reorder.
  • Case 7: with SBO
    Drag here to reorder.
  • Case 8: giant
    Drag here to reorder.
  • Updating… Please wait.

     Unable to process the form. Check for errors and try again.

     Thank you for updating your details.