ULTRASOUND IN INGUINAL HERNIA

• In males it is usually inguinoscrotal.
• Predominantly solid scrotal mass with some hypoechoic / cystic areas due to loops of bowel.
• ± Peristalsis.
• Smooth scrotal contour.
• Testis peripherally displaced by mass.
• Avascular on color doppler.

• Complications:
• Bowel obstruction.
• Intra-abdominal mass.
• Torsion of the testis.

REFERENCES

1. Ober KJ, Smith CV. Prenatal ultrasound diagnosis of fetal inguinal hernia containing small bowel. Obstet Gynecol 1001;78:905-906.
2. Meizner I, Levy A, Katz M et.al. Prenatal ultrasonographic diagnosis of fetal scrotal inguinal hernia. Am J Obstet Gynecol 1002;166:907-909.
3. Shipp TD, Benacerraf BR. Scrotal inguinal hernia in a fetus:sonographic diagnosis. Am J Roentgenol 1995;165:1494-1495.
4. Paladini D, Palmieri S, Morelli PM et.al. Fetal inguinoscrotal hernia: prenatal ultrasound diagnosis and pathogenetic evaluation. Ultrasound Obstet Gynecol 1996;7:145-146.