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An inguinal hernia or groin hernia is a hernia (protrusion) of abdominal cavity contents through the inguinal canal. Symptoms, which may include pain or discomfort especially with or following coughing, exercise, or bowel movements, are absent in about a third of patients. Symptoms often get worse throughout the day and improve when lying down.
An indirect hernia is situated laterally to these vessels, whereas a direct hernia is positioned medially to them. Inguinal hernias are the most common type of hernia in both men and women. In some selected cases, they may require surgery. There are special cases where a direct and indirect hernia appear together.
Sometimes a direct hernia may be present with an indirect hernia on the same side when it is known as a saddlebag hernia. Like other flexion surfaces of large joints ( popliteal fossa , armpit , cubital fossa and essentially the anterior part of the neck ), it is an area where blood vessels and nerves pass relatively superficially, and with an ...
Internal hernias are difficult to identify in women, and misdiagnosis with endometriosis or idiopathic chronic pelvic pain is very common. One cause of misdiagnosis that when the woman lies down flat on an examination table, all of the medical signs of the hernia disappear. The hernia can typically only be detected when symptoms are present, so ...
The canal of Nuck, first described by Anton Nuck in 1691, [1] [2] is an abnormal patent (open) pouch of peritoneum extending into the labia majora of women. It is analogous to a patent processus vaginalis in males (see hydrocele testis, inguinal hernia).
An obstructed femoral hernia occurs when a part of the intestine involved in the hernia becomes twisted, kinked, or constricted, causing an intestinal obstruction. A strangulated femoral hernia occurs when a constriction of the hernia limits or completely obstructs blood supply to part of the bowel involved in the hernia.
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