Incarcerated Inguinal Hernia Ct

Incarceration or strangulation of inguinal hernias is rare but serious complications can develop if a hernia is left untreated. Inguinal hernia is a type of abdominal wall hernia 1. Ct image a and color coded image b show a left indirect hernia.

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Incarcerated inguinal hernia ct. Ct reveals incarcerated ventral hernia. Indirect inguinal incarcerated hernia. Incarceration occurs when part of the fat or intestine from inside the abdomen gets stuck in the groin or scrotum and cannot go back into the abdomen. Edematous fluid and fat stranding can be seen within the hernia sac.

The hernia sac originates lateral to the course of the inferior epigastric artery red dots which arises from the external iliac artery j. In children the vast majority of inguinal hernias are indirect. Epidemiology they are the commonest type of abdominal wall herniation up to 80 3 and are most often acquired. Intestinal loops trapped inside a hernia are susceptible to perforation.

Indirect inguinal hernias arise lateral and superior to the course of the inferior epigastric vessels lateral to the. 25 of men and 2 of women develop inguinal hernias in their lifetime. It is five times more common than a direct inguinal hernia and is seven times more frequent in males due to the persistence of the processus vaginalis during testicular descent. An inguinal hernia is a common cause for a small bowel obstruction.

Local signs of this magnitude preclude. The more commonly reported complications of unrepaired inguinal hernias include incarceration and strangulation of intestinal structures that are trapped in the hernial sac. Axial c portal venous phase there is distension of small intestine and multiple corresponding air fluid levels with a transition point in a distal loop of ileum in an indirect inguinal hernia. There is a recognized male predilection with an m f ratio of up to 7 1 3.