It is widely known that incarcerated hernias
sometimes cause hydroceles.
Therefore incarcerated hernia
bag remained undetected.
Ultrasound in the diagnosis of incarcerated hernia
. The Internet Journal of Emergency Medicine.
Meinke demonstrated that most appendiceal hernias presented with symptoms consistent with an incarcerated hernia
, lacking the acute symptoms, such as nausea, anorexia, and periumbilical which aide in early diagnosis of appendicitis.
Strangulated hernias require emergency surgery, while incarcerated hernias
need repair as soon as possible.
Liang et al., "Bacteria in hernia sac: an important risk fact for surgical site infection after incarcerated hernia
repair," Hernia, vol.
hernia, huge hernia, obstructed hernia, strangulated hernia, incarcerated hernia
, sliding hernia, bilat.
If emergent causes are suspected, such as incarcerated hernia
or testicular torsion, then surgical exploration is warranted.
Sometimes the presenting features of an inflamed appendix may alert the surgeon to this possibility but it is a rarity and, is almost always misdiagnosed as an incarcerated hernia
with diagnosis confirmed upon opening of the hernial sac.
Preoperative diagnosis is a challenge and mistaken with appendicitis, cholecystitis, diverticulitis, pancreatitis, epiploic appendagitis, incarcerated hernia
, duodenal ulcer, ovarian torsion and ectopic pregnancy.
We suggest the laparoscopy as surgical approach of first choice because it allows to solve three problems at the same time: first, the reduction of the gallbladder's incarcerated hernia
; second, it enables to perform a cholecystectomy that was indicated for the presence of gallstones and hydrops; third, it allows to repair the hernia defect preferably with a mesh, if the local conditions are favorable.
The abdominal radiograph will confirm a mechanical bowel obstruction and a thickened inguinal-scrotal fold (with or without bowel gas within the hemiscrotum) if incarcerated hernia
is the etiology of the patient's symptoms.