Mesenteric Fat Inguinal Hernia
Note the bowel wall thickening severe fat stranding mesenteric engorgement and extraluminal fluid confined to the hernia sac findings that suggest strangulation.
Mesenteric fat inguinal hernia. A hernia may develop in various parts of the body most commonly in the region of the abdomen. 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. July 19 2020. Mesenteric fat white arrow and bowel orange arrow protrude through the abdominal wall at the umbilicus.
Indirect inguinal hernias arise lateral and superior to the course of the inferior epigastric vessels lateral to the. Inguinal hernias most often contain fat or part of the small intestine. It is known as bilateral because the injury occurs on both sides although an inguinal hernia that only affects one side a unilateral inguinal hernia is also common. The mesenteric vascular pedicle can be engorged or stretched.
In children the vast majority of inguinal hernias are indirect. An inguinal hernia occurs when the intestines or fat from the this type of hernia is most often caused by excess strain on the groin which allows for abdominal fat or a piece of small intestine to push downward through a. A weak spot or other abnormal opening in a body wall permits part of the organ to bulge through. In girls or women inguinal hernias may contain part of the female reproductive system such as an ovary.
There are 2 types of inguinal hernias. Indirect inguinal hernias. The hernia has caused a small bowel obstruction with dilated loops of small bowel seen red arrows there is also ascites present a. Us may detect the presence of hernias in the groin with a complete regional evaluation and hiatal hernias.
A hernia is a common condition in which part of an internal organ or tissue bulges through a muscle. Us may disclose the presence of the hernia signs figure figure1 1 and is particularly useful in small midline hernias containing mesenteric fat or to study the pediatric population. Transmesenteric small bowel internal hernias do not typically show a sac like cluster of vessels like a paraduodenal internal hernia and differentiation between a transmesenteric internal hernia and a small bowel obstruction from other causes can sometimes be difficult. B sagittal contrast enhanced reformatted ct image of the abdomen more clearly shows a hernia defect arrowhead.
An inguinal hernia occurs when the intestines or fat from the abdomen bulge through the lower abdominal wall into the inguinal or groin area. Her ne ah the abnormal protrusion of part of an organ or tissue through the structures normally containing it. Shelby miller last modified date.