title: Epigastric Hernia.
abstract: Epigastric hernia is a common condition, mostly asymptomatic although sometimes their unusual clinical presentation still represents a diagnostic dilemma for clinician. The theory of extra tension in the epigastric region by the diaphragm is the most likely theory of epigastric hernia formation. A detailed history and clinical examination in our thin, elderly male patient who presented with abdominal pain and constipation of 5 days of evolution was crucial in establishing a diagnosis. Noninvasive radiologic modalities such as ultrasonographic studies in the case of our patient can reliably confirm the diagnosis of epigastric hernia.
authors.affiliation: University Hospital Clinico San Carlos, Complutense University from Madrid, C/Profesor Martin Lagos s/n, PC 28040 Madrid, Spain.
authors.forename: Carlos Enrique
authors.initials: CE
authors.lastname: Suarez Acosta
authors.affiliation: University Hospital Clinico San Carlos, Complutense University from Madrid, C/Profesor Martin Lagos s/n, PC 28040 Madrid, Spain.
authors.forename: Esperanza
authors.initials: E
authors.lastname: Romero Fernandez
authors.affiliation: University Hospital Clinico San Carlos, Complutense University from Madrid, C/Profesor Martin Lagos s/n, PC 28040 Madrid, Spain.
authors.forename: Elpidio
authors.initials: E
authors.lastname: Calvo Manuel
keywords: Carlos Enrique; Epigastric; Hernia; Suárez Acosta; Ultrasonography