Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed
Inguinal hernias in children are most frequently indirect. In an indirect inguinal hernia the processus vaginalis remains patent and this allows the herniation of abdominal viscera into the scrotum.
Plain abdominal film shows a low mechanical bowel obstruction. Although an air filled loop of bowel in the inguinal region is diagnostic, it is usually not seen as the incarcerated bowel is usually collapsed. The most reliable plain film sign is an asymmetrical swelling of the affected inguinoscrotal fold
See References Chapter.
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