Emergency Ultrasound > Top 10 Pathology > Inguinal Hernia

Inguinal Hernia

Inguinal hernias are more commonly of the direct type and medial IEA. Frequently, the small bowel herniates through the inguinal canal and produces a palpable mass that patients refers that it "comes and goes". Ultrasound scanning demonstrates peristalsis with Valsalva maneuver, a reactive hydrocele and a reducible portion of bowel (Fig 8). Omentum can also herniate through the inguinal defect and will produce a hyperechoic structure within the testicle which can also enlarge during Valsalva maneuver. Complications of untreated longstanding inguinal hernias including canceration or a non-reducible loop of bowel, and strangulation with infarction.

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Fig 8. Inguinal hernia, with loops of bowel.

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