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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.
This is attached to the testis and extends through the inguinal canal to the wall of the scrotum as a testis. It carries with it the ductus deference, which are testicular vessels and nerves, a portion of the abdominal muscle, and lymph vessels. All of the structures remain attached to the testis and form what is known as the spermatic cord.
Diagram of an indirect, scrotal inguinal hernia (median view from the left). By the end of the eighth month, the testicle has reached the scrotum, preceded by the vaginal process, which communicates by its upper extremity with the peritoneal cavity.
A hydrocele testis usually occurs on one side, but can also affect both sides. The accumulation can be a marker of physical trauma, infection, tumor or varicocele surgery, [1] but the cause is generally unknown. Indirect inguinal hernia indicates increased risk of hydrocele testis.
Testicular torsion may result in irreversible damage to the testicle within hours. A collection of serous fluid in the spermatic cord is named 'funiculocele'. The contents of the abdominal cavity may protrude into the inguinal canal, producing an indirect inguinal hernia. Varicose veins of the spermatic cord are referred to as varicocele ...
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 ...
The inguinal canal is a small passageway through the pelvis, just 1.5 to 2.3 inches long, that acts as a tunnel for vessels and tubes to pass through to the scrotum in males, according to a 2023 ...
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. A hernia usually can be reduced, transmits a cough impulse, and is not translucent. A hydrocele cannot be reduced into the inguinal canal ...
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