Ultrasonography of inguinal hernia
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
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
- ↑ 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.
- ↑ NU Hospital Group, Sweden
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