Inguinal Hernia Containing Omentum

It just so happens this patient also has an inguinal hernia containing the infarcting infarcted ometum. This may include pain or discomfort especially with coughing exercise or bowel movements. Inguinal hernias occur when part of the membrane lining the abdominal cavity omentum or intestine protrudes through a weak spot in the abdomen often along the inguinal canal which carries the spermatic cord in men.

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Wk 1 Peritoneum Inframesocolic Compartment Interventional

Epidemiology they are the commonest type of abdominal wall herniation up to 80 3 and are most often acquired.

Inguinal hernia containing omentum. Inguinal hernia is a type of abdominal wall hernia 1. When an inguinal hernia occurs part of the peritoneum the lining of the abdominal cavity bulges through the abdominal wall and forms a sac around the hernia. Many have an umbilical hernia. If the blood supply gets cut off because it s tight then it can cause pretty significant pain.

Symptoms are present in about 66 of affected people. Segmental omental infarct is a ddx of misty mesentery. Apart from affecting the omentum rather than the small bowel mesentery absence of the halo sign make mesenteric panniculitis unlikely. Inguinal hernia accounts for about 75 per cent of all hernias.

If it is large enough it won t cause a problem which sounds like your case. There is an outpouching of your abdominal contents the omentum through the abdominal wall in the right groin area. If the defect is big enough often the intestinal covering called the omentum which is fat will slip into this defect. Case presentation a 40 year old caucasian man came to our emergency department with abdominal pain of the left quadrant and abdominal distension for 2 days.

Often it gets worse throughout the day and improves when lying down. Answered on may 9 2019. Inguinal hernias most often contain fat or part of the small intestine. What is right inguinal hernia with omental contents.

An inguinal hernia is a protrusion of abdominal cavity contents through the inguinal canal. 26 years experience internal medicine. A sac formed from the peritoneum and containing a portion of the intestine or omentum or both pushes either directly outward through the weakest point in the abdominal wall direct hernia or downward at an angle into the inguinal canal indirect hernia. In girls or women inguinal hernias may contain part of the female reproductive system such as an ovary.

A bulging area may occur that becomes larger when bearing down. Inguinal hernia is a common condition but not frequently related with torsion of the omentum. There is a recognized male predilection with an m f ratio of up to 7 1 3.