Equis ISSN 2398-2977

Inguinal ring: rupture

Contributor(s): Graham Munroe, Prof Jonathon Naylor

Introduction

  • Protrusion of abdominal viscera/omentum through a rent in the peritoneum and transverse fascia outside the vaginal sac but adjacent to inguinal ring.
  • Incidence: rare.
  • Cause: usually trauma.
  • Signs: inguinal/subcutaneous/scrotal swelling.
  • Diagnosis: history, signs, ultrasonography.
  • Treatment: surgical repair.

Pathogenesis

Etiology

  • Trauma.

Pathophysiology

  • Trauma   →   disturbed integrity of peritoneum and transverse fascia   →   protrusion of abdominal viscera/omentum through rent outside the vaginal sac but adjacent to inguinal ring.
  • Intestine protruding through rent may adhere to subcutaneous tissue   →   separation of skin from blood supply may   →   skin necrosis.
  • Intestine may become strangulated   →   colic symptoms +/- bowel damage.

Diagnosis

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Treatment

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Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Marien Tet al(2001)Laparoscopic testis-sparing herniorrhaphy - A new approach for congenital inguinal hernia repair in the foal.Equine Vet Educ13(1), 32-35 VetMedResource.


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