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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.
Ultrasound showing an indirect inguinal hernia [18] Incarcerated inguinal hernia [19] An indirect inguinal hernia results from the failure of embryonic closure of the deep inguinal ring. In the male it can occur after the testicle has passed through the deep inguinal ring. It is the most common cause of groin hernia.
A hernia that exits the abdominal cavity directly through the deep layers of the abdominal wall, thereby bypassing the inguinal canal, is known as a direct inguinal hernia. In males with strong presentation of the cremasteric reflex , the testes can—during supine sexual activity or manual manipulation—partially or fully retract into the ...
An inguinal hernia is a hernia of the groin and can be either a direct hernia, or an indirect hernia according to its particular location. Sometimes a direct hernia may be present with an indirect hernia on the same side when it is known as a saddlebag hernia .
Internal hernias are difficult to identify in women, and misdiagnosis with endometriosis or idiopathic chronic pelvic pain is very common. One cause of misdiagnosis that when the woman lies down flat on an examination table, all of the medical signs of the hernia disappear. The hernia can typically only be detected when symptoms are present, so ...
An epigastric hernia is a type of hernia that causes fat to push through a weakened area in the walls of the abdomen. It may develop in the epigastrium (upper, central part of the abdomen ). Epigastric hernias are more common in adults and usually appear above the umbilical region of the abdomen.
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A hiatal hernia or hiatus hernia [2] is a type of hernia in which abdominal organs (typically the stomach) slip through the diaphragm into the middle compartment of the chest. [1] [3] This may result in gastroesophageal reflux disease (GERD) or laryngopharyngeal reflux (LPR) with symptoms such as a taste of acid in the back of the mouth or heartburn.
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