Inguinoscrotal hernia in infants: Three case reports in ultrasound diagnosis
An inguinal hernia occurs when an intestinal loop or part of the omentum or genital organs passes into the scrotal cavity or labia through an incompletely obliterated processus vaginalis. Inguinal hernias are most common in preterm neonates, especially at 32-weeks gestation. Content of hernia is mos...
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| Format: | Article |
| Language: | English |
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2017-01-01
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| Series: | Indian Journal of Radiology and Imaging |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.4103/0971-3026.202951 |
| _version_ | 1823938396283731968 |
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| author | Dharmraj Meena Richa Jhuria Sangeeta Saxena Umesh Saini |
| author_facet | Dharmraj Meena Richa Jhuria Sangeeta Saxena Umesh Saini |
| author_sort | Dharmraj Meena |
| collection | DOAJ |
| description | An inguinal hernia occurs when an intestinal loop or part of the omentum or genital organs passes into the scrotal cavity or labia through an incompletely obliterated processus vaginalis. Inguinal hernias are most common in preterm neonates, especially at 32-weeks gestation. Content of hernia is mostly bowel and ovary/testicles. Presence of uterus in herniated sac is rare, and only few cases are reported in literature. Hernia is more frequently located on the right side because the right processus vaginalis closes later than the left. Physical examination is sufficient to enable diagnosis in most cases. Ultrasound examination is indicated in patients with inconclusive physical findings, in patients with acute scrotum, and to investigate contralateral involvement in patients in whom only a unilateral hernia is clinically evident. Routinely, color or power Doppler imaging is used in inguinal-scrotal hernia to investigate intestinal and testicular/ovarian perfusion. Urgent surgery is indicated in patients with an akinetic dilated bowel loop (a sign of strangulation) or impaired testicular/ovarian perfusion. |
| first_indexed | 2024-12-17T02:44:50Z |
| format | Article |
| id | doaj.art-a729170aa2e74f8fb172ee58c3fe47f3 |
| institution | Directory Open Access Journal |
| issn | 0971-3026 1998-3808 |
| language | English |
| last_indexed | 2024-12-17T02:44:50Z |
| publishDate | 2017-01-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Indian Journal of Radiology and Imaging |
| spelling | doaj.art-a729170aa2e74f8fb172ee58c3fe47f32022-12-21T22:06:36ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Radiology and Imaging0971-30261998-38082017-01-012701788110.4103/0971-3026.202951Inguinoscrotal hernia in infants: Three case reports in ultrasound diagnosisDharmraj Meena0Richa Jhuria1Sangeeta Saxena2Umesh Saini3Department of Radiodiagnosis, Govt. Medical College and Associated Group of Hospitals, Kota, Rajasthan, IndiaDepartment of Radiodiagnosis, Govt. Medical College and Associated Group of Hospitals, Kota, Rajasthan, IndiaDepartment of Radiodiagnosis, Govt. Medical College and Associated Group of Hospitals, Kota, Rajasthan, IndiaDepartment of Radiodiagnosis, Govt. Medical College and Associated Group of Hospitals, Kota, Rajasthan, IndiaAn inguinal hernia occurs when an intestinal loop or part of the omentum or genital organs passes into the scrotal cavity or labia through an incompletely obliterated processus vaginalis. Inguinal hernias are most common in preterm neonates, especially at 32-weeks gestation. Content of hernia is mostly bowel and ovary/testicles. Presence of uterus in herniated sac is rare, and only few cases are reported in literature. Hernia is more frequently located on the right side because the right processus vaginalis closes later than the left. Physical examination is sufficient to enable diagnosis in most cases. Ultrasound examination is indicated in patients with inconclusive physical findings, in patients with acute scrotum, and to investigate contralateral involvement in patients in whom only a unilateral hernia is clinically evident. Routinely, color or power Doppler imaging is used in inguinal-scrotal hernia to investigate intestinal and testicular/ovarian perfusion. Urgent surgery is indicated in patients with an akinetic dilated bowel loop (a sign of strangulation) or impaired testicular/ovarian perfusion.http://www.thieme-connect.de/DOI/DOI?10.4103/0971-3026.202951herniaincarcerationinguinoscrotalomentumprocessus vaginalis |
| spellingShingle | Dharmraj Meena Richa Jhuria Sangeeta Saxena Umesh Saini Inguinoscrotal hernia in infants: Three case reports in ultrasound diagnosis Indian Journal of Radiology and Imaging hernia incarceration inguinoscrotal omentum processus vaginalis |
| title | Inguinoscrotal hernia in infants: Three case reports in ultrasound diagnosis |
| title_full | Inguinoscrotal hernia in infants: Three case reports in ultrasound diagnosis |
| title_fullStr | Inguinoscrotal hernia in infants: Three case reports in ultrasound diagnosis |
| title_full_unstemmed | Inguinoscrotal hernia in infants: Three case reports in ultrasound diagnosis |
| title_short | Inguinoscrotal hernia in infants: Three case reports in ultrasound diagnosis |
| title_sort | inguinoscrotal hernia in infants three case reports in ultrasound diagnosis |
| topic | hernia incarceration inguinoscrotal omentum processus vaginalis |
| url | http://www.thieme-connect.de/DOI/DOI?10.4103/0971-3026.202951 |
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