Right Inguinal Hernia Containing Omentum
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Two accessory trocars were placed in his right flank 5mm.
Right inguinal hernia containing omentum. It just so happens this patient also has an inguinal hernia containing the infarcting infarcted ometum. A sac formed from the peritoneum and containing a portion of the intestine or omentum or both pushes either directly outward through the weakest point in the abdominal wall direct hernia or downward at an angle into the inguinal canal indirect hernia. An inguinal hernia is a protrusion of abdominal cavity contents through the inguinal canal. The most serious complication of a hernia is strangulation which occurs in approximately 1 3 of groin hernias.
They develop when fatty or intestinal tissues push through a weakness in the abdominal wall near the right or left inguinal canal. 2 except in sliding. Inguinal hernias occur when part of the membrane lining the abdominal cavity omentum or intestine protrudes through a weak spot in the abdomen often along the inguinal canal which carries the spermatic cord in men. Symptoms are present in about 66 of affected people.
Often it gets worse throughout the day and improves when lying down. A wide twist of omentum with large necrotic vascular changes that extended to the inguinal hernia content was found figure 2 a. There is an outpouching of your abdominal contents the omentum through the abdominal wall in the right groin area. After reducing the hernia content omentectomy was performed.
This may include pain or discomfort especially with coughing exercise or bowel movements. Strangulated right inguinal hernia containing torsion of the greater omentum. Indirect inguinal hernia the common form occurs more often in males because it follows. Segmental omental infarct is a ddx of misty mesentery.
His abdominal cavity was reached using a 10mm trocar under his umbilicus. An inguinal hernia occurs in the abdomen near the groin area. Answered on may 9 2019 2 doctors agree. It is estimated that 75 of all hernias occur in the inguinal region.
Apart from affecting the omentum rather than the small bowel mesentery absence of the halo sign make mesenteric panniculitis unlikely.