Ultrasound Pictures “of the abdominal wall hernias”

Clinical manifestations Hernia

: Pain is localized to the hernia site and is constant if the hernia has become incarcerated. Most patients present with a palpable mass, and many have a palpable hernial ring. The mass enlarges on coughing or straining.

Diagnosis Hernia

:
x History
x Clinical examination with inspection, auscultation, and selective palpation
x Sonography

Echogenic omentum in the hernial sac

Herniated small bowel. With an incarcerated hernia, the sac always contains fluid

Sonographic findings Hernia

:
x Signs of mechanical bowel obstruction.
x Gap in the peritoneal line (detectable with a 5 MHz or 7 MHz transducer).
x Bowel loops with thickened walls or omentum can be detected in the hernial
sac. The contents are easier to identify if peristalsis is still present.
x Indirect hernia = hernial sac that is lateral to the epigastric vessels and passes
obliquely through the abdominal wall.
x Direct hernia = medial hernial sac that passes directly through the abdominal
wall

“Ultrasound cases info Hernia”

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