Inguinal Hernia Ultrasound Radiographics

This type of hernia is important to recognize as herniation of the appendix may result in an atypical manifestation of acute appendicitis which may be clinically confused with an incarcerated inguinal hernia.

Inguinal hernia ultrasound radiographics. This type of hernia is termed direct as the hernial sac directly protrudes through the inguinal wall. Inguinal hernia is a type of abdominal wall hernia 1. There is a recognized male predilection with an m f ratio of up to 7 1 3. Indirect hernias descend along the spermatic cord from deep to the superficial inguinal ring.

Inguinal hernias inguinal hernias are the most common type of abdominal wall hernia. Fermoral hernias in an atypical relation to the femoral vessels include those lateral hesselbach s hernia prevascular velpeau s hernia or retrovascular serafini s hernia 7. Approximately 6 7 of all inguinal. Bowel hernias may manifest as fluctuant soft palpable masses in the ic.

Inguinal hernias may be classified depending on whether they are medial direct or lateral indirect to the inferior epigastric artery. Epidemiology they are the commonest type of abdominal wall herniation up to 80 3 and are most often acquired. Inguinal hernias are most commonly repaired with placement of a polypropylene polytetrafluoroethylene mesh or mesh plug across the deficient tissues that lie between the peritoneum and the transversalis fascia. They may occur in children most commonly indirect type hernias or adults both direct and indirect types manifesting medial direct type or lateral indirect type to the inferior epigastric vessels fig 2.

In children the vast majority of inguinal hernias are indirect. Radiology case reports vol. Imaging of abdominal hernias. Scanning below the inguinal ligament assessing the space medial to the femoral vein for a hernia.

An amyand hernia is an inguinal hernia that contains the appendix within the hernia sac. 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. Round ligament varices in pregnancy mimicking inguinal hernia. 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.

Differentiation of direct inguinal hernias indirect inguinal hernias and femoral hernias is often difficult at clinical examination and pre sents challenges even at diagnostic imaging.