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A direct inguinal hernia (alternative plural: herniae) is a type of groin herniation, that arises from protrusion of abdominal viscera through a weakness of the posterior wall of the inguinal canal medial to the inferior epigastric vessels, specifically through Hesselbach's triangle.
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 ...
Femoral hernias (alternative plural: herniae) are a type of groin herniation and comprise a protrusion of a peritoneal sac through the femoral ring into the femoral canal, posterior and inferior to the inguinal ligament.
Incarcerated abdominal hernia can be suggested when a hernia went through a small defect with a narrow neck. Impending strangulation should be suspected when free fluid, thickened bowel wall, or luminal dilatation is present 5 .
It occurs when the urinary bladder or ureter herniates into the inguinal canal, scrotal sac or femoral canal. Herniations through ischiorectal, obturator, or abdominal wall openings have also been described. Bladder herniation into the scrotum has also been called scrotal cystocele.
Internal hernias have a low incidence of <1% and represent a relatively small proportion, up to 5.8%, of presentations with small bowel obstruction 1. Clinical presentation. The most common presentation is an acute obstruction of small bowel loops that develops through normal or abnormal apertures.
Abdominal hernias/herniae may be congenital or acquired and come with varying eponyms. They are distinguished primarily based on type, location and content.
Case Discussion. Young male presented with right inguinal swelling. On clinical examination, it was an irreducible hernia. Ultrasound was requested to check bowel/fat content of hernia. Ultrasound shows peritoneal fat reaching up to scrotum.
On imaging, consider: direct inguinal hernia. emerges medially to the inferior epigastric vessels and above the inguinal ligament. the inguinal canal is usually compressed/displaced ("lateral crescent sign") femoral hernia. exit below the inguinal ligament and caudal to the emergence of the inferior epigastric vessels
Spigelian hernias (alternative plural: herniae), also known as lateral ventral hernias, are a type of abdominal hernia along the semilunar line, resulting in herniation between the muscles of the abdominal wall.