Pantaloon hernia: Combined indirect and direct hernias
IMAGING
Relevant Anatomy
Relevant Embryology
Radiographic Findings
CT Findings
Ultrasonographic Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Gavlin A et al: Imaging and treatment of complications of abdominal and pelvic mesh repair. Radiographics. 40(2):432-53, 2020
Miller HJ: Inguinal Hernia: Mastering the Anatomy. Surg Clin North Am. 98(3):607-21, 2018
Schoettle A et al: The lateral crescent sign. Abdom Radiol (NY). 43(11):3195-6, 2018
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
Revzin MV et al: US of the inguinal canal: comprehensive review of pathologic processes with CT and MR imaging correlation. Radiographics. 36(7):2028-48, 2016
Jacobson JA et al: Ultrasound of the Groin: Techniques, Pathology, and Pitfalls. AJR Am J Roentgenol. 205(3):513-23, 2015
Murphy KP et al: Adult abdominal hernias. AJR Am J Roentgenol. 202(6):W506-11, 2014
Burkhardt JH et al: Diagnosis of inguinal region hernias with axial CT: the lateral crescent sign and other key findings. Radiographics. 31(2):E1-12, 2011
Stamatiou D et al: Obturator hernia revisited: surgical anatomy, embryology, diagnosis, and technique of repair. Am Surg. 77(9):1147-57, 2011
Aguirre DA et al: Abdominal wall hernias: imaging features, complications, and diagnostic pitfalls at multi-detector row CT. Radiographics. 25(6):1501-20, 2005
Jaffe TA et al: MDCT of abdominal wall hernias: is there a role for valsalva's maneuver? AJR Am J Roentgenol. 184(3):847-51, 2005
Zollinger RM Jr: An updated traditional classification of inguinal hernias. Hernia. 8(4):318-22, 2004
van den Berg JC: Inguinal hernias: MRI and ultrasound. Semin Ultrasound CT MR. 23(2):156-73, 2002
Toms AP et al: Illustrated review of new imaging techniques in the diagnosis of abdominal wall hernias. Br J Surg. 86(10): 1243-9, 1999
Related Anatomy
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Related Differential Diagnoses
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References
Tables
Tables
KEY FACTS
Terminology
Imaging
TERMINOLOGY
Definitions
Protrusion of organ (or tissue) outside its physiologic cavity
Indirect hernia: Hernia protruding through internal inguinal ring
Direct hernia: Hernia protruding through Hesselbach triangle
Incarcerated hernia: Entrapment of hernia content within hernia sac (irreducible)
Strangulated hernia: Compromised blood flow to hernia content resulting in ischemia/necrosis of contents
Pantaloon hernia: Combined indirect and direct hernias
IMAGING
Relevant Anatomy
Relevant Embryology
Radiographic Findings
CT Findings
Ultrasonographic Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Gavlin A et al: Imaging and treatment of complications of abdominal and pelvic mesh repair. Radiographics. 40(2):432-53, 2020
Miller HJ: Inguinal Hernia: Mastering the Anatomy. Surg Clin North Am. 98(3):607-21, 2018
Schoettle A et al: The lateral crescent sign. Abdom Radiol (NY). 43(11):3195-6, 2018
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
Revzin MV et al: US of the inguinal canal: comprehensive review of pathologic processes with CT and MR imaging correlation. Radiographics. 36(7):2028-48, 2016
Jacobson JA et al: Ultrasound of the Groin: Techniques, Pathology, and Pitfalls. AJR Am J Roentgenol. 205(3):513-23, 2015
Murphy KP et al: Adult abdominal hernias. AJR Am J Roentgenol. 202(6):W506-11, 2014
Burkhardt JH et al: Diagnosis of inguinal region hernias with axial CT: the lateral crescent sign and other key findings. Radiographics. 31(2):E1-12, 2011
Stamatiou D et al: Obturator hernia revisited: surgical anatomy, embryology, diagnosis, and technique of repair. Am Surg. 77(9):1147-57, 2011
Aguirre DA et al: Abdominal wall hernias: imaging features, complications, and diagnostic pitfalls at multi-detector row CT. Radiographics. 25(6):1501-20, 2005
Jaffe TA et al: MDCT of abdominal wall hernias: is there a role for valsalva's maneuver? AJR Am J Roentgenol. 184(3):847-51, 2005
Zollinger RM Jr: An updated traditional classification of inguinal hernias. Hernia. 8(4):318-22, 2004
van den Berg JC: Inguinal hernias: MRI and ultrasound. Semin Ultrasound CT MR. 23(2):156-73, 2002
Toms AP et al: Illustrated review of new imaging techniques in the diagnosis of abdominal wall hernias. Br J Surg. 86(10): 1243-9, 1999
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