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Groin Hernia
Tara A. Morgan, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          TERMINOLOGY

          • Synonyms

            • Inguinal hernia, indirect inguinal hernia, direct inguinal hernia, femoral hernia
          • Definitions

            • Hernia: Weakness or defect in fibromuscular wall with protrusion of all or part of organ through defect
            • Reducible: Hernia recedes spontaneously or with external pressure (manual or transducer)
            • Incarcerated: Nonreducible
            • Strangulated: Compromised vascular supply of hernia contents

          IMAGING

          • General Features

            • Ultrasonographic Findings

              • CT and MR

                • Radiographic Findings

                  • Imaging Recommendations

                    DIFFERENTIAL DIAGNOSIS

                      PATHOLOGY

                      • General Features

                        • Gross Pathologic & Surgical Features

                          CLINICAL ISSUES

                          • Presentation

                            • Demographics

                              • Natural History & Prognosis

                                • Treatment

                                  DIAGNOSTIC CHECKLIST

                                  • Consider

                                    Selected References

                                    1. Piga E et al: Imaging modalities for inguinal hernia diagnosis: a systematic review. Hernia. 24(5):917-26, 2020
                                    2. Itani KMF et al: Approach to groin hernias. JAMA Surg. 154(6):551-2, 2019
                                    3. Cabarrus MC et al: From inguinal hernias to spermatic cord lipomas: pearls, pitfalls, and mimics of abdominal and pelvic hernias. Radiographics. 37(7):2063-82, 2017
                                    4. Arend CF: Static and dynamic sonography for diagnosis of abdominal wall hernias. J Ultrasound Med. 32(7):1251-9, 2013
                                    5. Jain N et al: Ultrasound of the abdominal wall: what lies beneath? Clin Radiol. 68(1):85-93, 2013
                                    6. Robinson A et al: Meta-analysis of sonography in the diagnosis of inguinal hernias. J Ultrasound Med. 32(2):339-46, 2013
                                    7. Bhosale PR et al: The inguinal canal: anatomy and imaging features of common and uncommon masses. Radiographics. 28(3):819-35; quiz 913, 2008
                                    Related Anatomy
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                                    Related Differential Diagnoses
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                                    References
                                    Tables

                                    Tables

                                    KEY FACTS

                                    • Terminology

                                      • Imaging

                                        • Top Differential Diagnoses

                                          • Clinical Issues

                                            TERMINOLOGY

                                            • Synonyms

                                              • Inguinal hernia, indirect inguinal hernia, direct inguinal hernia, femoral hernia
                                            • Definitions

                                              • Hernia: Weakness or defect in fibromuscular wall with protrusion of all or part of organ through defect
                                              • Reducible: Hernia recedes spontaneously or with external pressure (manual or transducer)
                                              • Incarcerated: Nonreducible
                                              • Strangulated: Compromised vascular supply of hernia contents

                                            IMAGING

                                            • General Features

                                              • Ultrasonographic Findings

                                                • CT and MR

                                                  • Radiographic Findings

                                                    • Imaging Recommendations

                                                      DIFFERENTIAL DIAGNOSIS

                                                        PATHOLOGY

                                                        • General Features

                                                          • Gross Pathologic & Surgical Features

                                                            CLINICAL ISSUES

                                                            • Presentation

                                                              • Demographics

                                                                • Natural History & Prognosis

                                                                  • Treatment

                                                                    DIAGNOSTIC CHECKLIST

                                                                    • Consider

                                                                      Selected References

                                                                      1. Piga E et al: Imaging modalities for inguinal hernia diagnosis: a systematic review. Hernia. 24(5):917-26, 2020
                                                                      2. Itani KMF et al: Approach to groin hernias. JAMA Surg. 154(6):551-2, 2019
                                                                      3. Cabarrus MC et al: From inguinal hernias to spermatic cord lipomas: pearls, pitfalls, and mimics of abdominal and pelvic hernias. Radiographics. 37(7):2063-82, 2017
                                                                      4. Arend CF: Static and dynamic sonography for diagnosis of abdominal wall hernias. J Ultrasound Med. 32(7):1251-9, 2013
                                                                      5. Jain N et al: Ultrasound of the abdominal wall: what lies beneath? Clin Radiol. 68(1):85-93, 2013
                                                                      6. Robinson A et al: Meta-analysis of sonography in the diagnosis of inguinal hernias. J Ultrasound Med. 32(2):339-46, 2013
                                                                      7. Bhosale PR et al: The inguinal canal: anatomy and imaging features of common and uncommon masses. Radiographics. 28(3):819-35; quiz 913, 2008