Incidence of Occult Inguinal Hernia Diagnosed with Ultrasound in Patients with Groin Pain
Occult Inguinal Hernia Diagnosed with Ultrasound in Patients with Groin Pain
DOI:
https://doi.org/10.54393/pjhs.v3i03.80Keywords:
Ultrasound, inguinal hernia, lymph nodesAbstract
Inguinal Hernia is one of the most common problems affecting the population coming with groin pain. Objective: To find the incidence of occult inguinal hernia diagnosed with ultrasound in patients with groin pain. Methods: Descriptive study was conducted at Gilani Ultrasound Centre. Data of 200 participants were designated done with suitable sample method. Data were analyzed by SSPS version 24.0. Results: Out of 200 male patients the Mean Age ± SD ratio is 23.1±15.7. 38(19%) patients presented with pain bilaterally, left sided pain was presented in 43(21.5%) patients and right sided pain was presented in 119(59.5%) patients. In 25(12.5%) patients occult inguinal hernia was detected and in 175(87.5%) patients occult inguinal hernia was not detected. In 2(1%) patients occult inguinal hernia was detected bilaterally, in 6(3%) patients occult inguinal hernia was detected on left side and in 17(8.5%) patients it was detected on right side. The mean size of the defect on right side was 2.24 and on left side was 5.0. Conclusions: Study concluded that occult inguinal hernia detected in 12.5% patients and majority of them were young adults. Due to the sensitive nature of groin ultrasound, patients may be referred for it if the results of the clinical examination are inconclusive or negative.
References
Bradley M, Morgan D, Pentlow B, Roe A. The groin hernia - an ultrasound diagnosis? Annals of the Royal College of Surgeons of England. 2003 May; 85(3):178-80. doi: 10.1308/003588403321661334.
Ruhl CE and Everhart JE. Risk factors for inguinal hernia among adults in the US population. American Journal of Epidemiology. 2007 May; 165(10):1154-61. doi: 10.1093/aje/kwm011.
van den Berg JC. Inguinal hernias: MRI and ultrasound. Seminars in Ultrasound, CT and MR. 2002 Apr; 23(2):156-73. doi: 10.1016/s0887-2171(02)90002-8.
Miller J, Cho J, Michael MJ, Saouaf R, Towfigh S. Role of imaging in the diagnosis of occult hernias. JAMA Surgery. 2014 Oct; 149(10):1077-80. doi: 10.1001/jamasurg.2014.484.
Light D, Ratnasingham K, Banerjee A, Cadwallader R, Uzzaman MM, Gopinath B. The role of ultrasound scan in the diagnosis of occult inguinal hernias. International Journal of Surgery. 2011; 9(2):169-72. doi: 10.1016/j.ijsu.2010.10.014.
Jenkins JT and O’Dwyer PJ. Inguinal hernias. British Medical Journal. 2008 Feb; 336(7638):269-72. doi: 10.1136/bmj.39450.428275.AD.
van Wessem KJ, Simons MP, Plaisier PW, Lange JF. The etiology of indirect inguinal hernias: congenital and/or acquired? Hernia. 2003 Jun; 7(2):76-9. doi: 10.1007/s10029-002-0108-7.
Flich J, Alfonso JL, Delgado F, Prado MJ, Cortina P. Inguinal hernia and certain risk factors. European journal of epidemiology. 1992 Mar; 8(2):277-82. doi: 10.1007/BF00144814.
Ashindoitiang JA, Ibrahim NA, Akinlolu OO. Risk factors for inguinal hernia in adult male Nigerians: a case control study. International surgery journal. 2012; 10(7):364-7. doi: 10.1016/j.ijsu.2012.05.016.
Purkayastha MS, Chow MA, Athanasiou MT, Tekkis PP, Darzi A. Inguinal hernia. BMJ clinical evidence 2008.
Panton ON and Panton RJ. Laparoscopic hernia repair. American Journal of Surgery. 1994 May; 167(5):535-7. doi: 10.1016/0002-9610(94)90252-6.
Garvey JF. Computed tomography scan diagnosis of occult groin hernia. Hernia. 2012 Jun; 16(3):307-14. doi: 10.1007/s10029-011-0899-5.
Bradley M, Morgan J, Pentlow B, Roe A. The positive predictive value of diagnostic ultrasound for occult herniae. Annals of the Royal College of Surgeons of England. 2006 Mar; 88(2):165-7. doi: 10.1308/003588406X95110.
Loftus IM, Ubhi SS, Watkin DF. Herniography for groin pain of uncertain origin. British Journal of Surgery. 1997 Oct; 84(10):1480. doi: 10.1002/bjs.1800841041.
Sutcliffe JR, Taylor OM, Ambrose NS, Chapman AH. The use, value and safety of herniography. Clinical radiology. 1999 Jul; 54(7):468-72. doi: 10.1016/s0009-9260(99)90835-8.
Alam A, Nice C, Uberoi R. The accuracy of ultrasound in the diagnosis of clinically occult groin hernias in adults. European radiology. 2005 Dec; 15(12):2457-61. doi: 10.1007/s00330-005-2825-7.
Lilly MC and Arregui ME. Ultrasound of the inguinal floor for evaluation of hernias. Surgical Endoscopy. 2002 Apr; 16(4):659-62. doi: 10.1007/s00464-001-8145-3.
Chen K, Xiang G, Wang H, Xiao F. Laparoscopic inguinal hernia repair: a new approach. Journal of Laparoendoscopic & Advanced Surgical Techniques. 2010 Mar; 20(2):147-51.
Paajanen H, Ojala S, Virkkunen A. Incidence of occult inguinal and Spigelian hernias during laparoscopy of other reasons. Surgery. 2006 Jul; 140(1):9-12; discussion 12-3. doi: 10.1016/j.surg.2006.01.005.
Graf JL, Caty MG, Martin DJ, Glick PL. Pediatric hernias. Seminars in Ultrasound of CT and MR. 2002 Apr; 23(2):197-200. doi: 10.1016/s0887-2171(02)90006-5.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Pakistan Journal of Health Sciences
This work is licensed under a Creative Commons Attribution 4.0 International License.
This is an open-access journal and all the published articles / items are distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. For comments