Inguinal Hernia Ultrasound Findings

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

Inguinal hernia ultrasound findings. Often it gets worse throughout the day and improves when lying down. This may include pain or discomfort especially with coughing exercise or bowel movements. 1 2 a lipoma and a hernia containing omentum are potential mimics but a lipoma is generally smaller and more homogeneous whereas a hernia is an elongated mass. A bulging area may occur that becomes larger when bearing down.

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 protrusion of abdominal cavity contents through the inguinal canal. There is a recognized male predilection with an m f ratio of up to 7 1 3. The most common benign tumor of the inguinal region is a lipoma.

Inguinal hernia is a type of abdominal wall hernia 1. Detection of groin hernia with physical examination ultrasound and mri compared with laparoscopic findings. Symptoms are present in about 66 of affected people. However since direct hernias are less likely to strangulate correct identification of direct inguinal hernias will allow them to be managed more conservatively.

In children the vast majority of inguinal hernias are indirect. 8 10 if a hernia is not detected when present then the patient may not be offered curative surgery or they may have to undergo further tests. 1 the lipoma is seen as a hyperechoic mass on sonography which may be difficult to differentiate from a liposarcoma. We describe the relevant normal anatomy of the groin relating to inguinal and femoral hernias and describe a straightforward reliable technique for identifying and assessing the integrity of the inguinal and femoral canals.

Indirect inguinal hernias arise lateral and superior to the course of the inferior epigastric vessels lateral to the. Ahernia is the protrusion of a part or structure through the tissues normally containing it either through an opening in the tissues or via stretching of the tissue wall external abdominal hernias are usually found in the inguinal region where most are direct and indirect inguinal hernias and femoral hernias 2 3 hernias may be associated with significant morbidity and even. The anatomy of this region is complex and the normal sonographic findings can be difficult to interpret. Inguinal herniae in the male are a common complaint 1 7 and yet sonographic examination of this pathology can be challenging for general sonographers.

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