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KMID : 1033020130030010018
Journal of Hemiology: Diagnosis and Treatment of Hernias
2013 Volume.3 No. 1 p.18 ~ p.21
Epigastric Hernia Caused by Lipomatosis Infiltrating Linea Alba
Yoo Ri-Na

Chung Chul-Woon
Abstract
An epigastric hernia is caused by a midline defect in the linea alba between the xiphoid and the umbilicus, by which the preperitoneal fat or omentum tend to protrude. Various conditions, either congenital or acquired, may predispose the losses of integrity in the abdominal wall. The infiltrating lipomatosis is defined as a diffused and non-lobular proliferation of mature fat cells which infiltrate adjacent tissues, and it may occur either intramuscularly or intermuscularly. The term ¡®diffuse lipomatosis¡¯ has been used to describe patients exhibiting massive infiltrating lipomatosis which are present in the extremities, trunk, intraperitoneum, retroperitoneum, and abdominal wall. Although diffuse lipomatosis involving the abdominal wall has been previously reported, the abdominal wall hernia caused by the infiltrating lipomatosis has not yet been documented. Herein, we present a 40 year-old male diagnosed with recurred spontaneous epigastric hernia due to the lipomatosis infiltrating the aponeurosis of his linea alba. To the best of our knowledge, this is the first report on infiltrating lipomatosis which causes an epigastric hernia.
KEYWORD
Epigastric hernia, Infiltrating lipomatosis, Linea alba, Diffuse lipomatosis
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