Pediatric surgery. Strangulated inguinal hernia. Clinic. Differential diagnosis (most important)

Lecture notes, cheat sheets
Free library / Directory / Lecture notes, cheat sheets

Pediatric surgery. Strangulated inguinal hernia. Clinic. Differential diagnosis (most important)

Lecture notes, cheat sheets

Table of contents (expand)

32. Strangulated inguinal hernia. Clinic. Differential Diagnosis

Infringement of inguinal hernia occurs in children of various age groups. The internal organs of the abdominal cavity with a slight tension can go into the hernial sac. The resulting spasm of the muscles creates an obstacle to their return to the abdominal cavity.

clinical picture. The most constant sign of strangulated hernia in infants is anxiety, which occurs in the midst of complete well-being and is constant, periodically intensifying.

Sometimes the swelling appears for the first time and may go unnoticed for some time due to the small size and pronounced subcutaneous fat layer in the inguinal regions in newborns.

In older children, the clinical manifestations of infringement are more distinct. The child complains of sudden sharp pains in the inguinal region and a painful swelling that appears (if the hernia was incarcerated at the first appearance). In those cases when the child knows about the presence of a hernia, he indicates its increase and the impossibility of reduction.

Soon after the infringement, many children (40-50%) have a single vomiting. The chair and gases in the beginning depart independently. When the intestinal loop is infringed, the phenomena of intestinal obstruction develop (70% of observations).

When a child is admitted late from the onset of the disease (2-3rd day), the following are revealed: a serious general condition, fever, severe intoxication, clear signs of intestinal obstruction or peritonitis.

Locally, hyperemia and swelling of the skin appear, associated with necrosis of the strangulated organ and the development of phlegmon of the hernial protrusion. Vomiting becomes frequent, with an admixture of bile and fecal odor. There may be urinary retention.

Differential diagnosis. Differential diagnosis in young children, first of all, has to be carried out with acutely developed hydrocele of the spermatic cord. In such cases, accurate anamnestic data is important - with dropsy, swelling occurs gradually and increases over several hours.

The basis for differential diagnosis is palpation data: a tumor with dropsy is moderately painful, oval in shape, with a clear upper pole, from which a dense cord characteristic of a hernial protrusion does not extend into the inguinal canal.

Quite often, an acutely developing cyst of the spermatic cord can be extremely difficult to distinguish from a strangulated hernia. In such cases, the diagnosis is made during surgery.

In contrast to a strangulated hernia, the child has no symptoms of intestinal obstruction, and a thin cord is determined, coming from the swelling into the inguinal canal. In doubtful cases, an operation should be prescribed.

Torsion of the spermatic cord ("torsion of the testicle") is also manifested by the sudden anxiety of the child.

Authors: Drozdov A.A., Drozdova M.V.

<< Back: Postoperative treatment of children with hernia of the umbilical cord

>> Forward: Treatment of strangulated inguinal hernias

We recommend interesting articles Section Lecture notes, cheat sheets:

▪ Microbiology. Crib

▪ Criminal executive law. Lecture notes

▪ Advocacy and notaries. Lecture notes

See other articles Section Lecture notes, cheat sheets.

Read and write useful comments on this article.

<< Back

Latest news of science and technology, new electronics:

The existence of an entropy rule for quantum entanglement has been proven 09.05.2024

Quantum mechanics continues to amaze us with its mysterious phenomena and unexpected discoveries. Recently, Bartosz Regula from the RIKEN Center for Quantum Computing and Ludovico Lamy from the University of Amsterdam presented a new discovery that concerns quantum entanglement and its relation to entropy. Quantum entanglement plays an important role in modern quantum information science and technology. However, the complexity of its structure makes understanding and managing it challenging. Regulus and Lamy's discovery shows that quantum entanglement follows an entropy rule similar to that for classical systems. This discovery opens new perspectives in the field of quantum information science and technology, deepening our understanding of quantum entanglement and its connection to thermodynamics. The results of the study indicate the possibility of reversibility of entanglement transformations, which could greatly simplify their use in various quantum technologies. Opening a new rule ... >>

Mini air conditioner Sony Reon Pocket 5 09.05.2024

Summer is a time for relaxation and travel, but often the heat can turn this time into an unbearable torment. Meet a new product from Sony - the Reon Pocket 5 mini-air conditioner, which promises to make summer more comfortable for its users. Sony has introduced a unique device - the Reon Pocket 5 mini-conditioner, which provides body cooling on hot days. With it, users can enjoy coolness anytime, anywhere by simply wearing it around their neck. This mini air conditioner is equipped with automatic adjustment of operating modes, as well as temperature and humidity sensors. Thanks to innovative technologies, Reon Pocket 5 adjusts its operation depending on the user's activity and environmental conditions. Users can easily adjust the temperature using a dedicated mobile app connected via Bluetooth. Additionally, specially designed T-shirts and shorts are available for convenience, to which a mini air conditioner can be attached. The device can oh ... >>

Energy from space for Starship 08.05.2024

Producing solar energy in space is becoming more feasible with the advent of new technologies and the development of space programs. The head of the startup Virtus Solis shared his vision of using SpaceX's Starship to create orbital power plants capable of powering the Earth. Startup Virtus Solis has unveiled an ambitious project to create orbital power plants using SpaceX's Starship. This idea could significantly change the field of solar energy production, making it more accessible and cheaper. The core of the startup's plan is to reduce the cost of launching satellites into space using Starship. This technological breakthrough is expected to make solar energy production in space more competitive with traditional energy sources. Virtual Solis plans to build large photovoltaic panels in orbit, using Starship to deliver the necessary equipment. However, one of the key challenges ... >>

Random news from the Archive

SMS from Joulupukki 30.05.2005

Finnish engineers have created a northern lights alert service for the convenience of tourists.

In the far North, one can observe the most beautiful natural phenomenon - the northern lights. Its cause is the streams of solar wind particles, which in the region of the poles from time to time break through the planet's radiation belts and reach the dense layers of the atmosphere. For example, in the Lapland village of Rovaniemi, the residence of the Finnish Santa Claus, it happens almost every day from November to March. However, no one can predict the exact time, and an inquisitive tourist is forced to look at the sky for many hours so as not to miss the beauty.

"We decided to help people," says Miikka Raulo, director of the Lapland Center of Expertise for Industrial Development. "Now tourists can receive a message about the northern lights directly on their cell phone. This service is already very popular."

The service works like this. The tourist either orders the service via the Internet before the trip, or rents a mobile phone at the airport. It is there that a special sensor that monitors the glow of the sky sends a text message about the beginning of the northern lights.

Other interesting news:

▪ EVGA GQ Series 80Plus Gold Power Supplies

▪ Smartphone with e-ink color screen

▪ Printed scheme from under the chicken

▪ The driver will not fall asleep on the road

▪ Hexgears Hyeku F2 Mechanical Keyboard

News feed of science and technology, new electronics

Interesting materials of the Free Technical Library:

▪ section of the site Tips for radio amateurs. Selection of articles

▪ article History of medicine. Lecture notes

▪ article Who is a sloth? Detailed answer

▪ article Elder dwarf. Legends, cultivation, methods of application

▪ article Microcontrollers. Directory

▪ article The appearance of the scarf. Focus secret

Leave your comment on this article:

All languages of this page

Home page | Library | Articles | Website map | Site Reviews