Inguinal Hernia Radiology
Ahernia is the protrusion of a part or structure through the tissues normally containing it either through an opening in the tissues or via.
Inguinal hernia radiology. Inguinal hernia is a type of abdominal wall hernia 1. Figure 3 fat containing direct inguinal hernia with a small vessel inside it. 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. Diagrams left and ct images right top image obtained at a higher level than bottom image show a lateral crescent of compressed and stretched inguinal canal contents including.
However the sac of a large inguinal hernia protruded through the inguinal canal and extended medial to the pubic tubercle whereas that of a femoral hernia was localized lateral to the pubic tubercle. On testicular ultrasound one could consider spermatic cord lipoma on the differential if an inguinal hernia contains only omental fat. Often it gets worse throughout the day and improves when lying down. A bulging area may occur that becomes larger when bearing down.
This lateral crescent of fat is a useful diagnostic sign of direct inguinal hernia. Abdominal imaging gastrointestinal radiology inguinal hernia sonography. Movement of the fat with the valsalva maneuver is more likely an indirect hernia. It doesn t improve on its own however and can lead to life threatening complications.
Inguinal hernia repair is a common surgical procedure. Your doctor is likely to recommend surgery to fix an inguinal hernia that s painful or enlarging. A femoral hernia lies in the femoral canal medial to the femoral vein. There is a recognized male predilection with an m f ratio of up to 7 1 3.
Symptoms are present in about 66 of affected people. Because of the narrowness of the femoral ring the opening that forms the neck of a femoral hernia it is more likely than an inguinal hernia to become incarcerated. Exit below the inguinal ligament and caudal to the emergence of the inferior epigastric vessels. This may include pain or discomfort especially with coughing exercise or bowel movements.
Epidemiology they are the commonest type of abdominal wall herniation up to 80 3 and are most often acquired. An inguinal hernia isn t necessarily dangerous.