Ultrasonography of inguinal hernia

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Author: Mikael Häggström [notes 1]

Contents

Planning

In Swedish practice, an inguinal bulge is evaluated within 2 months unless there's significant pain.[notes 2]

In strong abdominal pain, a suspected strangulated hernia indicates surgery without previous ultrasound, whereas an unclear diagnosis indicates abdominal CT.

Evaluation

File:Ultrasonography of inguinal hernia (annotated).jpg
Ultrasound of an indirect hernia containing fat, with testicle seen at right.

Without and with Valsalva maneuver.[1] Preferably also in standing.[1]

Further workup

If an inguinal hernia is detected:

  • Size with and without provocation (Valsalva maneuver and/or standing)
  • Content, merely fat, or also intestines
  • Ability to reduce by pressure

Notes

  1. For a full list of contributors, see article history. Creators of images are attributed at the image description pages, seen by clicking on the images. See Radlines:Authorship for details.
  2. NU Hospital Group, Sweden

References

  1. 1.0 1.1 Jamadar, David A.; Jacobson, Jon A.; Morag, Yoav; Girish, Gandikota; Ebrahim, Farhad; Gest, Thomas; Franz, Michael (2006). "Sonography of Inguinal Region Hernias ". American Journal of Roentgenology 187 (1): 185–190. doi:10.2214/AJR.05.1813. ISSN 0361-803X.