Signs of Inguinal hernia (Groin hernia)

Inguinal Hernia (Groin Hernia)

Description

Occurs when tissue pushes through a weak spot in the groin muscle. This causes a bulge in the groin or scrotum. The bulge may hurt or burn. The hernia becomes worse with straining. If the bulge does not go away with relaxation it can become lodged in the defect called an incarceration. Intestine can become trapped in the hernia and lose its blood supply leading to a serious surgical emergency named strangulation.

Symptoms

Groin discomfort, groin pain aggravated by bending or lifting, a groin lump or scrotum lump that increases with straining or cough, a non-tender bulge or lump in children.

Tests

A history and physical exam will be performed. The diagnosis can be made with an abdominal ultrasound or abdominal CT scan.

Standard Workup

CT Scan
Ultrasound

Treatment

Most hernias can be pushed back into the abdominal cavity. If it cannot be pushed back through the abdominal wall the hernia will need to be emergently repaired to prevent the intestine from losing its blood supply and dying (strangulation). Strangulation can lead to peritonitis and be life threatening. Almost all hernias require surgery, although some can be followed closely.