Inguinal hernias

Große
Skrotalhernie rechts in der Computertomographie mit zahlreichen Dünndarmschlingen und Teilen des Colon ascendens.
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Infant with a
right inguinal mass. Sagittal US of the scrotum (below) shows a loop of bowel superior to the right testicle within the right scrotal sac. Transverse US (above) best demonstrates the presence of a reactive hydrocele around the loop of bowel. The bowel was subsequently successfully reduced into the abdomen and repaired 3 days later.The diagnosis was right inguinal hernia.
pediatricimaging.org • CC-by-nc-sa 4.0
Infant with
acute right groin swelling. Sagittal US of the right scrotum shows a normal appearing right testicle (to the right of the image) that is displaced inferiorly in the scrotal sac by a large mass composed of multiple tubular structures that demonstrated peristalsis on real-time imaging.The diagnosis was inguinal hernia.
pediatricimaging.org • CC-by-nc-sa 4.0
Infant with
bilateral scrotal masses. AXR AP shows large air-filled loops of bowel within the scrotum bilaterally.The diagnosis was bilateral inguinal hernias.
pediatricimaging.org • CC-by-nc-sa 4.0
Bladder
hernia. Herniation of the bladder lume n in the inguinal canal
www.eurorad.org • CC by-nc-sa-4.0
Bladder
hernia. Hernia suprapubic view (prevoid)
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Former
premature newborn who is now several months old who is vomiting. AXR supine shows massively dilated loops of bowel filling the abdomen with a loop of bowel noted in each of the scrotal sacs.The diagnosis was distal small bowel obstruction due to bilateral inguinal hernias.
pediatricimaging.org • CC-by-nc-sa 4.0
Large bowel
obstruction • Large bowel obstruction caused by left inguinal hernia - Ganzer Fall bei Radiopaedia
Shah, V. Large bowel obstruction caused by left inguinal hernia. Case study, Radiopaedia.org. (accessed on 21 Oct 2022) https://doi.org/10.53347/rID-88715 • CC by-nc-sa 3.0 (modified)
Radiopaedia • CC-by-nc-sa 3.0 • de

An inguinal hernia is a type of groin herniation,  part of a much larger group of abdominal wall hernias .

Epidemiology

They are the commonest type of abdominal wall herniation (up to 80% ) and are most often acquired. There is a recognized male predilection with an M:F ratio of up to 7:1 .

Clinical presentation

Patients most commonly present with swelling and/or pain in the relevant groin, iliac fossa, loin. Men may also have testicular pain.

Pathology

Classification

It is broadly divided into two types:

Etiology

All of the following confer an increased risk for indirect inguinal hernia:

A direct inguinal hernia is a consequence of weakened abdominal musculature, often brought on by

  • advanced age
  • strain
  • previous abdominal surgery

While inguinal hernias, in general, are much more common in males than in females, direct hernias, in particular, are rare in women since the broad ligament acts as an additional barrier.

Treatment and prognosis

Surgical treatment options include

  • herniorrhaphy
  • hernioplasty
Complications

Complications, as in any other abdominal wall herniation, include:

Compared with other types of abdominal wall hernias, the incidence of complications is considered lower .

Differential diagnosis

Possible imaging differential considerations include

Siehe auch:
und weiter:
Assoziationen und Differentialdiagnosen zu Inguinalhernie:
Schenkelhernie
mit Appendix vermiformis
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mechanischer
Ileus
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Bauchwandhernien
 
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Appendix in
Leistenhernie
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Harnblase in
Leistenhernie
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Ovar in
Leistenhernie
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Inguinalhernie
versus Schenkelhernie
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Varizen des
Ligamentum teres uteri
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