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Amyand's hernia is not always associated with physical, laboratory, or imaging examinations. [8] Even though it is practically impossible clinically, preoperative diagnosis of Amyand's hernia is possible with CT and ultrasound technology. The appendix can be seen directly inside the inguinal canal
Usually hernia has content of bowel, abdominal fat or omentum, tissue that normally would reside inside the abdominal cavity if it was not for the hernia. In some cases, the content gets trapped in the hernia sac, outside the abdominal wall. The blood flow to this trapped tissue may be compromised, or the content even strangulated in some cases.
A cul-de-sac hernia (also termed a peritoneocele) is a herniation of peritoneal folds into the rectovaginal septum (in females), [2] or the rectovesical septum (in males). The herniated structure is the recto-uterine pouch (pouch of Douglas) in females, [ 2 ] or the rectovesical pouch in males.
Ultrasound of an indirect hernia containing fat, with testicle seen at right. T2 weighted MRI of the same case (done for another purpose), also demonstrating fat content. Ultrasound showing an indirect inguinal hernia [18] Incarcerated inguinal hernia [19] An indirect inguinal hernia results from the failure of embryonic closure of the deep ...
Double indirect hernia: an indirect inguinal hernia with two hernia sacs, without a concomitant direct hernia component (as seen in a pantaloon hernia). [26] Hiatus hernia: a hernia due to "short oesophagus" — insufficient elongation — stomach is displaced into the thorax; Littre's hernia: a hernia involving a Meckel's diverticulum.
A hiatal hernia or hiatus hernia [2] is a type of hernia in which abdominal organs (typically the stomach) slip through the diaphragm into the middle compartment of the chest. [1] [3] This may result in gastroesophageal reflux disease (GERD) or laryngopharyngeal reflux (LPR) with symptoms such as a taste of acid in the back of the mouth or heartburn.
A paraumbilical (or umbilical) hernia is a hole in the connective tissue of the abdominal wall in the midline with close approximation to the umbilicus. If the hole is large enough there can be protrusion of the abdominal contents, including omental fat and/or bowel .
The diagnosis of a Spigelian hernia is traditionally difficult if only given a history and physical examination. [9] People who are good candidates for elective Spigelian hernia surgery, after receiving an initial diagnostic consultation by a licensed medical professional, will be advised to see a physician to schedule surgery.