Diagnostic Ultrasound - Abdomen and Pelvis

Groin Hernia
(Left) Graphic shows a direct
inguinal hernia . Note that
the neck of a direct inguinal
hernia is medial to the inferior
epigastric vessels . A direct
inguinal hernia passes through
the transversalis fascial defect
in the Hesselbach triangle.
(Right) Transverse ultrasound
of the left groin obtained
during Valsalva maneuver
shows there is fat containing a
direct inguinal hernia ſt
medial to the inferior
epigastric vessels st.
Diagnoses: Abdominal Wall/Peritoneal Cavity
(Left) Transverse ultrasound
shows a right direct inguinal
hernia ſt containing bowel .
The neck of the hernia lies
medial to the epigastric
vessels st. (Right) Axial CECT
of the same patient obtained
for another reason shows a
right direct inguinal hernia ſt
containing fat and fluid. Bowel
was not seen. The neck of
the hernia lies medial to the
epigastric artery st. Lack of
dynamic maneuvers limits CT.
(Left) Transverse ultrasound
shows concurrent left direct
ſt and indirect inguinal
hernias, both containing
mesenteric fat. The necks of
the indirect and direct
hernias lie lateral and medial
to the epigastric vessels st,
respectively. This is known as a
saddlebag hernia. (Right)
Transverse ultrasound shows a
left indirect-type inguinal
hernia ſt containing fluid and
fat (not shown). The neck
of the hernia lies lateral to the
epigastric veins and artery st.
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