Inguinal hernia ultrasound

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Farima Kahe M.D. [2]

Overview

Ultrasound may be helpful in the diagnosis of inguinal hernia. Findings on an ultrasound diagnostic of inguinal hernia include herniated bowel contents, herniated fat and the normal intraabdominal contents move inferior with the Valsalva maneuver.

Ultrasound

  • Ultrasound may be helpful in the diagnosis of inguinal hernia. Findings on an ultrasound diagnostic of inguinal hernia include:[1][2]
    • Herniated bowel contents may show peristalsis
    • Herniated fat appears hyperechoic
    • Reducibility and bowel viability is identified by peristalsis or mucosal blood flow
    • The normal intraabdominal contents move inferior with the Valsalva maneuver
Ultrasound showing inguinal hernia source:Case courtesy of Dr Maulik S Patel, Radiopaedia.org, rID: 40696


References

  1. Jamadar, David A.; Jacobson, Jon A.; Morag, Yoav; Girish, Gandikota; Dong, Qian; Al-Hawary, Mahmoud; Franz, Michael G. (2007). "Characteristic Locations of Inguinal Region and Anterior Abdominal Wall Hernias: Sonographic Appearances and Identification of Clinical Pitfalls". American Journal of Roentgenology. 188 (5): 1356–1364. doi:10.2214/AJR.06.0638. ISSN 0361-803X.
  2. Yeh, Hsu-Chong; Lehr-Janus, Cynthia; Cohen, Burton A.; Rabinowitz, Jack G. (1984). "Ultrasonography and CT of abdominal and inguinal hernias". Journal of Clinical Ultrasound. 12 (8): 479–486. doi:10.1002/jcu.1870120805. ISSN 0091-2751.

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