Diagnostic Ultrasound - Abdomen and Pelvis

Groin Hernia
Diagnoses: Abdominal Wall/Peritoneal Cavity
(Left) Graphic shows an
indirect inguinal hernia
entering the right scrotal sac.
Note that the neck ſt of an
indirect inguinal hernia lies
lateral to the inferior
epigastric vessels st. (Right)
Longitudinal ultrasound of the
right groin performed during
Valsalva shows an indirect
inguinal hernia containing
bowel st with fluid inferiorly
. There was normal
peristalsis.
(Left) Longitudinal ultrasound
shows a large indirect-type
inguinal hernia ſt extending
into the upper scrotal region.
There is gas within bowel st
in the hernia sac. Shadowing
from gas may obscure
hernia contents. (Right)
Coronal CECT in the same
patient confirms the presence
of cecum ſt but also terminal
ileum st in the right indirect
inguinoscrotal hernia .
(Left) Transverse ultrasound of
the scrotum in a patient with
an incarcerated right indirect
inguinal hernia. There are
thick dilated edematous bowel
loops ſt with surrounding
fluid in the scrotum. Left
hydrocele was also noted st.
The testis was ischemic.
(Right) Longitudinal
panoramic ultrasound of the
left groin in a boy shows a
patent processus vaginalis
resulting in a left indirect
inguinal hernia containing fat
ſt and fluid st. The testis is
displaced inferiorly .
622