Differential diagnosis of pediatric hernias

• Umbilical hernia
• Abdominal wall hernia
• Inguinal hernia

Approach to the differential diagnosis of hernias:

• An umbilical hernia presents as an umbilical mass and can be confirmed with ultrasound or AXR
• An abdominal wall hernia presents as an abdominal wall mass and can be confirmed with ultrasound
• An inguinal hernia presents as an inguinal or scrotal mass and can be confirmed with ultrasound
• An incarcerated hernia is a clinical diagnosis and not a radiologic diagnosis