What is the clinical presentation of an abdominal hernia?

Updated: Jul 23, 2019
  • Author: Assar A Rather, MBBS, MD, FACS; Chief Editor: John Geibel, MD, DSc, MSc, AGAF  more...
  • Print
Answer

In an emergency setting, a patient with a hernia may present because of a complication associated with the hernia, or the hernia may be detected on routine physical examination. In most instances, the diagnosis of hernia is made because a patient, parent, or provider has observed a bulge in the inguinal region or scrotum (see the images below). This bulge is not necessarily constant but may be intermittent; depending on the intra-abdominal pressure, the herniating viscus may enter the space or remain outside it.

Large right inguinal hernia in 3-month-old girl. Large right inguinal hernia in 3-month-old girl.
Erythematous edematous left scrotum in 2-month-old Erythematous edematous left scrotum in 2-month-old boy with history of irritability and vomiting for 36 hours. Local signs of this magnitude preclude reduction attempts.

Did this answer your question?
Additional feedback? (Optional)
Thank you for your feedback!