Differential Diagnosis Of Inguinal Hernia
Study of a single family.
Differential diagnosis of inguinal hernia. If the mass extends into the scrotum consider a hydrocele varicocele or a testicular mass. Internal deep inguinal ring lateral to inferior epigastric vessels direct. F m increased likelihood of incarceration. Surgical repair remains the mainstay of therapy although watchful waiting is reasonable in adults with minimally symptomatic or asymptomatic inguinal hernia.
Groin muscle pull sports hernia athletic pubalgia labral tear inguinal hernia hip stress fracture hip arthritis hip osteoarthritis hip osteonecrosis glucocorticoid use hip synovitis hip septic arthritis avascular necrosis of femoral head osteitis pubis distal abdominal rectus strain adductor longus. A familial tendency for developing inguinal hernias. These include femoral hernia saphena varix inguinal lymphadenopathy lipoma groin abscess or an internal iliac aneurysm. Symptoms are present in about 66 of affected people.
Inguinal hernia should not pulsate. Femoral hernia is located below the inguinal ligament lateral and inferior to the pubic tubercle. Risk factors for inguinal hernia among adults in the us population. Diagnosis is usually clinical.
An inguinal hernia bulge lies in the line of the inguinal ligament between the anterior iliac spine and pubis. A bulging area may occur that becomes larger when bearing down. Undescended testis the presence of a groin mass or underdeveloped hemiscrotum with absent testis on the affected side. Imaging may be helpful where there is doubt about diagnosis but also identifies many clinically insignificant apparent hernias.
External superficial inguinal ring medial to inferior epigastric vessels. An inguinal hernia is a protrusion of abdominal cavity contents through the inguinal canal. Kapur p caty mg glick pl. Differential diagnosis of groin pain.
Differential diagnosis of inguinal hernia. Ruhl ce everhart je. Presents as a pulsatile mass in the groin. Inferior to the inguinal ligament through empty space medial to femoral sheath.
Femoral hernia is located below the inguinal ligament lateral and inferior to the pubic tubercle. Use of higher resolution axial computed tomography in the diagnosis of inguinal hernia is being investigated 14 magnetic resonance imaging may be useful in differentiating inguinal and femoral. Akbulut s cakabay b sezgin a. Often it gets worse throughout the day and improves when lying down.
An inguinal hernia bulge lies in the line of the inguinal ligament between the anterior iliac spine and pubis.