Presentation
Low back pain; post-natal abdominal doming.
Patient Data
US scan of the anterior abdominal wall: There is a 7.41cm (severe = >5cm as per to European Endohernia Society Guidelines 1) diastasis recti abdominis just above level of umbilicus with thinned linea alba and bulge of abdominal contents to subcutaneous location.
Case Discussion
Diastasis recti abdominis (DRA) is not a true hernia, rather a thinning (rather than a defect of) the linea alba, which connects the recti abdominis muscles in the midline. Wide diastases cause a reduction of abdominal strength and may be associated with low back pain or midline abdominal pain 2. Symptomatic DRA is associated with reduced health-related quality of life 3. Diastasis recti abdominis is associated with true midline hernias due to thinning of the linea alba. The European Endohernia Society Guidelines classify DRA as mild: 2 to 3 cm; moderate: 3 to 5 cm; severe: >5cm 1.
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