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Ultrasound image of inguinal hernia. Moving intestines in inguinal canal with respiration. In Littre's hernia, the content of the hernial sac contains a Meckel's diverticulum. Clinical classification of hernia is also important according to which hernia is classified into
In human anatomy, the inferior epigastric artery is an artery that arises from the external iliac artery. [1]: 225 It is accompanied by the inferior epigastric vein; inferiorly, these two inferior epigastric vessels together travel within the lateral umbilical fold (which represents the lateral border of Hesselbach's triangle, the area through which direct inguinal hernias protrude. [2])
The superficial inguinal ring (subcutaneous inguinal ring or external inguinal ring) is an anatomical structure in the anterior wall of the mammalian abdomen. It is a triangular opening that forms the exit of the inguinal canal, which houses the ilioinguinal nerve , the genital branch of the genitofemoral nerve , and the spermatic cord (in men ...
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.
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.
Unlike a hydrocele of the cord, a hydrocele of the canal of Nuck is always at least partially within the inguinal canal. [citation needed] The accuracy of the diagnosis must be ascertained. Great care must be taken to differentiate a hydrocele from a scrotal hernia or tumor of the testicle. Ultrasound imaging can be very useful in these cases ...
At ultrasound, lipoma is a well–defined, homogeneous, hyperechoic paratesticular lesion of varying size [Fig. 14]. The simple finding of an echogenic fatty mass within the inguinal canal, while suggestive of a lipoma, should also raise a question of fat from the omentum secondary to an inguinal hernia.
The inguinal ligament attaches to it. [1] Part of the abdominal external oblique muscle inserts onto it. [1] The inferior epigastric artery passes between the pubic tubercle and the anterior superior iliac spine. [2] The pubic spine is a rough ridge that extends from the pubic tubercle to the upper border of the pubic symphysis.
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