Last reviewed: March 2020
Last updated: December  2018

Summary

Definition

History and exam

Key diagnostic factors

  • groin discomfort or pain with bulge
  • groin mass
  • abdominal discomfort or pain
  • acute abdomen

Risk factors

  • male sex
  • old age
  • smoking
  • family history
  • prematurity
  • heavy lifting
  • abdominal aortic aneurysm (AAA)
  • previous right lower quadrant incision
  • defective transversalis fascia
  • chronic bronchitis or emphysema
  • Marfan syndrome
  • Ehlers-Danlos syndrome
  • lathyrism
  • pregnancy
  • ascites
  • benign prostatic hypertrophy
  • urethral stricture

Diagnostic investigations

Treatment algorithm

Contributors

Professor Emeritus of Surgery

Section of General Surgery

University of Michigan

Ann Arbor

MI

Disclosures

RB declares that he has no competing interests.

Dr Richard Burney would like to gratefully acknowledge Dr LS Wong and Dr EA Agaba, the previous contributors to this monograph. LSW and EAA declare that they have no competing interests.

Peer reviewersVIEW ALL

Department of Surgery

University of Nebraska Medical Center

Omaha

NE

Disclosures

MC declares that he has no competing interests.

Professor of Gastrointestinal Surgery

University Department of Surgery

Western Infirmary

Glasgow

UK

Disclosures

PJOD declares that he has no competing interests.

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