EPIGASTRIC HERNIA

30 October 1926

journal article
research article
Published by American Medical Association (AMA) in JAMA

Vol. 87 (18) , 1466-1470
https://doi.org/10.1001/jama.1926.02680180038010

Abstract

Epigastric hernia may be defined as a rupture usually not larger than a walnut occurring in the linea alba between the umbilicus and the ensiform cartilage. Although this disease is not uncommon, insufficient attention has been accorded its importance. This is largely due to the fact that as many of these hernias are reducible, and disappear in the recumbent posture, the position in which patients affected with abdominal disorders are ordinarily examined, they are frequently overlooked. Arnauld de Villeneuve, in 1285, was the first to call attention to this variety of hernia, while Garengeot¹in 1743 recognized this condition as a cause of obscure abdominal symptoms. Gunz,²in 1744, described the disease as gastric hernia (gastrocele) in the belief that the stomach was included in the sac because of the gastric symptoms so commonly noted. In 1785, A. G. Richter³reported a number of instances of this

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