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A physician may diagnose an inguinal hernia, as well as the type, from medical history and physical examination. [20] For confirmation or in uncertain cases, medical ultrasonography is the first choice of imaging, because it can both detect the hernia and evaluate its changes with for example pressure, standing and Valsalva maneuver .
In medicine, Carnett's sign is a finding on clinical examination in which abdominal pain remains unchanged or increases when the muscles of the abdominal wall are tensed. [1] [2] For this part of the abdominal examination, the patient can be asked to lift the head and shoulders from the examination table to tense the abdominal muscles.
In occult (hidden) hernia, the bulge cannot be detected by physical examination and magnetic resonance imaging (MRI) can be more helpful in this situation. [7] Males who have asymptomatic inguinal hernia and pregnant women with uncomplicated inguinal hernia can be observed, but the definitive treatment is mostly surgery. [8]
An indirect inguinal hernia and a direct inguinal hernia can be distinguished by their positioning in relation to the inferior epigastric vessels. An indirect hernia is situated laterally to these vessels, whereas a direct hernia is positioned medially to them. Inguinal hernias are the most common type of hernia in both men and women.
Athletic pubalgia, also called sports hernia, [1] core injury, [2] hockey hernia, [3] hockey groin, [1] Gilmore's groin, [1] or groin disruption, [4] is a medical condition of the pubic joint affecting athletes. [5] It is a syndrome characterized by chronic groin pain in athletes and a dilated superficial ring of the inguinal canal.
Amyand's hernia is a rare form of an inguinal hernia (less than 1% of inguinal hernias) [2] which occurs when the appendix is included in the hernial sac and becomes incarcerated. The condition is an eponymous disease named after a French surgeon , Claudius Amyand (1660–1740), [ 3 ] who performed the first successful appendectomy in 1735.
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An obturator hernia is a rare type of hernia, encompassing 0.07-1% of all hernias, [2] of the pelvic floor in which pelvic or abdominal contents protrudes through the obturator foramen. The obturator foramen is formed by a branch of the ischial (lower and back hip bone) as well as the pubic bone.
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