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Umbilical and bilateral inguinal hernias in a veteran powerlifter: is it a pressure-overload syndrome?
Rob D Dickerman1, Adam Smith, Qualls E J Stevens
1Department of Neurosurgery, North Shore University-Long Island Jewish Health System, New Hyde Park, NY, USA. drrdd@yahoo.com
Abstract:
Umbilical, inguinal and hiatal hernias are all thought to occur from basically the same etiology, a malformation in the tissue leading to herniation. The mechanisms for these malformations range from congenital to degenerative. Earlier studies proposed that hiatal hernias result from age-related degenerative changes in the phrenoesophageal ligament leading to subsequent herniation. We found that hiatal hernias occur in young power athletes secondary to intra-abdominal pressure overload of the phrenoesophageal ligament. We present a case of umbilical and bilateral inguinal hernias occurring in a veteran powerlifter. The pathogenesis of multiple hernias and the physiological pressure systems involved in the development of multiple hernias in a power athlete are discussed.
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