Difference between revisions of "Ultrasonography of inguinal hernia"

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In Swedish practice, an inguinal bulge is evaluated within 2 months unless there's significant pain.<ref group=notes>{{NU Hospital Group}}</ref>
 
In Swedish practice, an inguinal bulge is evaluated within 2 months unless there's significant pain.<ref group=notes>{{NU Hospital Group}}</ref>
  
In strong [[abdominal pain]], a suspected strangulated hernia indicates surgery without previous ultrasound, whereas an unclear diagnosis indicates [[abdominal CT]].
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In strong '''[[abdominal pain]]''', a suspected strangulated hernia indicates surgery without previous ultrasound, whereas an unclear diagnosis indicates '''[[abdominal CT]]'''.
  
 
==Evaluation==
 
==Evaluation==

Revision as of 12:25, 11 December 2018

Author: Mikael Häggström [notes 1]

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

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.