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True Hernias
Adam C. Zoga, MD; Kirkland W. Davis, MD, FACR
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KEY FACTS

  • Terminology

    • Imaging

      • Pathology

        • Clinical Issues

          TERMINOLOGY

          • Synonyms

            • Abdominal wall hernia, groin hernia
          • Definitions

            • Protrusion of intraperitoneal structures through congenital or acquired abdominal or pelvic wall defect

          IMAGING

          • General Features

            • Radiographic Findings

              • Fluoroscopic Findings

                • CT Findings

                  • MR Findings

                    • Ultrasonographic Findings

                      • Imaging Recommendations

                        DIFFERENTIAL DIAGNOSIS

                          PATHOLOGY

                          • Staging, Grading, & Classification

                            CLINICAL ISSUES

                            • Presentation

                              • Natural History & Prognosis

                                • Treatment

                                  DIAGNOSTIC CHECKLIST

                                  • Consider

                                    • Image Interpretation Pearls

                                      Selected References

                                      1. Murphy KP et al: Adult abdominal hernias. AJR Am J Roentgenol. 202(6):W506-11, 2014
                                      2. Tirumani H et al: Small bowel obstruction in the emergency department: MDCT features of common and uncommon causes. Clin Imaging. 38(5):580-8, 2014
                                      3. Aasvang EK et al: MRI and pathology in persistent postherniotomy pain. J Am Coll Surg. 208(6):1023-8; discussion 1028-9, 2009
                                      4. Cherian PT et al: The diagnosis and classification of inguinal and femoral hernia on multisection spiral CT. Clin Radiol. 63(2):184-92, 2008
                                      5. Djuric-Stefanovic A et al: The accuracy of ultrasonography in classification of groin hernias according to the criteria of the unified classification system. Hernia. 12(4):395-400, 2008
                                      6. Omar IM et al: Athletic pubalgia and "sports hernia": optimal MR imaging technique and findings. Radiographics. 28(5):1415-38, 2008
                                      7. Swan KG Jr et al: The athletic hernia: a systematic review. Clin Orthop Relat Res. 455:78-87, 2007
                                      8. Lilly MC et al: Lipomas of the cord and round ligament. Ann Surg. 235(4):586-90, 2002
                                      9. van den Berg JC: Inguinal hernias: MRI and ultrasound. Semin Ultrasound CT MR. 23(2):156-73, 2002
                                      Related Anatomy
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                                      Related Differential Diagnoses
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                                      References
                                      Tables

                                      Tables

                                      KEY FACTS

                                      • Terminology

                                        • Imaging

                                          • Pathology

                                            • Clinical Issues

                                              TERMINOLOGY

                                              • Synonyms

                                                • Abdominal wall hernia, groin hernia
                                              • Definitions

                                                • Protrusion of intraperitoneal structures through congenital or acquired abdominal or pelvic wall defect

                                              IMAGING

                                              • General Features

                                                • Radiographic Findings

                                                  • Fluoroscopic Findings

                                                    • CT Findings

                                                      • MR Findings

                                                        • Ultrasonographic Findings

                                                          • Imaging Recommendations

                                                            DIFFERENTIAL DIAGNOSIS

                                                              PATHOLOGY

                                                              • Staging, Grading, & Classification

                                                                CLINICAL ISSUES

                                                                • Presentation

                                                                  • Natural History & Prognosis

                                                                    • Treatment

                                                                      DIAGNOSTIC CHECKLIST

                                                                      • Consider

                                                                        • Image Interpretation Pearls

                                                                          Selected References

                                                                          1. Murphy KP et al: Adult abdominal hernias. AJR Am J Roentgenol. 202(6):W506-11, 2014
                                                                          2. Tirumani H et al: Small bowel obstruction in the emergency department: MDCT features of common and uncommon causes. Clin Imaging. 38(5):580-8, 2014
                                                                          3. Aasvang EK et al: MRI and pathology in persistent postherniotomy pain. J Am Coll Surg. 208(6):1023-8; discussion 1028-9, 2009
                                                                          4. Cherian PT et al: The diagnosis and classification of inguinal and femoral hernia on multisection spiral CT. Clin Radiol. 63(2):184-92, 2008
                                                                          5. Djuric-Stefanovic A et al: The accuracy of ultrasonography in classification of groin hernias according to the criteria of the unified classification system. Hernia. 12(4):395-400, 2008
                                                                          6. Omar IM et al: Athletic pubalgia and "sports hernia": optimal MR imaging technique and findings. Radiographics. 28(5):1415-38, 2008
                                                                          7. Swan KG Jr et al: The athletic hernia: a systematic review. Clin Orthop Relat Res. 455:78-87, 2007
                                                                          8. Lilly MC et al: Lipomas of the cord and round ligament. Ann Surg. 235(4):586-90, 2002
                                                                          9. van den Berg JC: Inguinal hernias: MRI and ultrasound. Semin Ultrasound CT MR. 23(2):156-73, 2002