245653
Differential diagnosis Importantly this type of hernia must be distinguished from a paraumbilical hernia , which occurs in adults and involves a defect in the midline near to the umbilicus , and from omphalocele .
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Please list all entity words in the text that fit the category. Output format is "word1, word2". 
Option: location, person, organization 
Text: {0} 
Answer:
 None