Silk Sign Inguinal Hernia

The swelling may be progressive throughout the day and get smaller during naps or overnight this indicates communication of the hydrocele or inguinal hernia.

Silk sign inguinal hernia. A true inguinal hernia will be felt as a silk like sensation against the gloved finger of the examiner. 1 department of pediatric surgery hospital álvaro cunqueiro vigo spain. This is the infamous silk glove sign. There may be presence of a silk glove sign when the layers of the hernia sac are palpated sliding over each other.

Pediatric inguinal hernia and hydrocele. Aneiros castro b 1 cano novillo i 2 garcía vázquez a 2. When the hernia sac is palpated over the cord structures the sensation may be similar to that of rubbing 2 layers of silk together. Physical examination generally showed an inguinal bulge.

It is said to feel thicker and like two pieces of silk rubbing over each other if there is an inguinal hernia due to the peritoneal layers of the ppv the so called silk glove sign. Symptoms are present in about 66 of affected people. This may include pain or discomfort especially with coughing exercise or bowel movements. Often it gets worse throughout the day and improves when lying down.

The accuracy of silk glove sign compared with inguinal bulge in the diagnosis of indirect inguinal hernia in children. When the hernia sac is palpated over the cord structures the sensation may be similar to that of rubbing two layers of silk together. The patient is then asked to cough or perform a valsalva maneuver. The silk glove sign is a diagnostic measure when a hernia or hydrocele is suspected however there is no other clinical evidence to prove their existence.

The silk sign is particularly important in young children and infants in whom palpation of the external inguinal. An inguinal hernia is a protrusion of abdominal cavity contents through the inguinal canal. It involves rolling of the spermatic cord which causes a feeling of pieces of silk friction. Positive sign demonstrates thickening of the spermatic cord representing the hernial sac in comparison with that on the other side.

J laparoendosc adv surg tech a. This finding is known as the silk sign and is highly suggestive of an inguinal hernia. An evidence based review in the era of minimal access surgery. A direct inguinal hernia usually only occurs in children as a result of an indirect inguinal hernia repair.

This finding is known as the silk sign and is highly suggestive of an inguinal hernia. In female patients an ovary may palpate similarly to a lymph node. Hydroceles may appear bluish. However when no bulge is seen the silk glove sign sgs or palpating the processus vaginalis over the pubic tubercle can be useful.

The diagnosis of indirect inguinal hernia is usually based on clinical grounds. In male patients roll the spermatic cord against the pubic tubercle. A bulging area may occur that becomes larger when bearing down.