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Diagnostic Ultrasound - Abdomen and Pelvis

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Groin Hernia<br />

(Left) Longitudinal ultrasound<br />

shows a left indirect inguinal<br />

hernia extending into the<br />

scrotum in an adult male. The<br />

herniated fat ſt abuts the<br />

testis . (Right) Axial CECT of<br />

the same patient performed<br />

for trauma to the leg shows an<br />

indirect inguinal hernia<br />

containing fat ſt. The hernia<br />

was asymptomatic.<br />

Diagnoses: Abdominal Wall/Peritoneal Cavity<br />

(Left) Graphic shows a femoral<br />

hernia . Note that the neck<br />

of the femoral hernia is medial<br />

to the common femoral vein<br />

ſt <strong>and</strong> inferior to the inguinal<br />

ligament . (Right)<br />

Transverse oblique ultrasound<br />

of the femoral canal with the<br />

patient st<strong>and</strong>ing shows a<br />

femoral hernia containing<br />

mesenteric fat. The hernia is<br />

medial to the common<br />

femoral vein (CFV) <strong>and</strong> artery<br />

(CFA). (Courtesy C. Rapp,<br />

RDMS, FAIUM, FSDMS.)<br />

(Left) Transverse oblique<br />

ultrasound of the right<br />

femoral canal at rest shows a<br />

normal, common femoral vein<br />

<strong>and</strong> artery ſt with no<br />

hernia. (Courtesy of C. Rapp,<br />

RDMS, FAIUM, FSDMS.) (Right)<br />

Transverse oblique ultrasound<br />

of the right femoral canal<br />

during Valsalva shows a small<br />

femoral hernia st medial to<br />

the common femoral vein .<br />

(Courtesy C. Rapp, RDMS,<br />

FAIUM, FSDMS.)<br />

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