Last reviewed: June 2018
Last updated: May  2018

Summary

Definition

History and exam

Key diagnostic factors

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

Other diagnostic factors

  • nausea and vomiting
  • constipation

Risk factors

  • male gender
  • old age
  • smoking
  • family history
  • prematurity
  • heavy lifting
  • arterial aneurysm
  • 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

Investigations to consider

  • ultrasound scan of groin
  • CT scan
  • herniography
  • MRI of groin
Full details

Treatment algorithm

Contributors

Authors VIEW ALL

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 reviewers VIEW 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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