Scribd Logo
Upload

Welcome to Scribd!

  • 5 views

    Anat 3

    Uploaded by

    john.spallanzani
    A 44-year-old man working in home improvement experiences right groin pain for 6 months. He has a bulge in his right groin during the Valsalva maneuver. The most likely diagnosis is an inguinal hernia, which occurs when abdominal contents protrude through a weak spot in the abdominal wall or inguinal canal. The anatomical defect involves a weakness in the abdominal wall that allows abdominal contents to protrude into the inguinal canal.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Anat 3

    Uploaded by

    john.spallanzani
    5 views2 pages
    A 44-year-old man working in home improvement experiences right groin pain for 6 months. He has a bulge in his right groin during the Valsalva maneuver. The most likely diagnosis is an inguinal hernia, which occurs when abdominal contents protrude through a weak spot in the abdominal wall or inguinal canal. The anatomical defect involves a weakness in the abdominal wall that allows abdominal contents to protrude into the inguinal canal.

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    A 44-year-old man working in home improvement experiences right groin pain for 6 months. He has a bulge in his right groin during the Valsalva maneuver. The most likely diagnosis is an inguinal hernia, which occurs when abdominal contents protrude through a weak spot in the abdominal wall or inguinal canal. The anatomical defect involves a weakness in the abdominal wall that allows abdominal contents to protrude into the inguinal canal.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    5 views2 pages

    Anat 3

    Uploaded by

    john.spallanzani
    A 44-year-old man working in home improvement experiences right groin pain for 6 months. He has a bulge in his right groin during the Valsalva maneuver. The most likely diagnosis is an inguinal hernia, which occurs when abdominal contents protrude through a weak spot in the abdominal wall or inguinal canal. The anatomical defect involves a weakness in the abdominal wall that allows abdominal contents to protrude into the inguinal canal.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    11/2/23, 5:45 PM

    Questions
    What is the most likely diagnosis?

    The most likely diagnosis in this case is an inguinal hernia. An inguinal hernia occurs when a portion of the abdominal contents, such as intestine or fat, protrudes through a weak spot in
    the abdominal wall or inguinal canal. In men, inguinal hernias are more common and o!en present as a bulge or swelling in the inguinal area, especially during activities that increase
    intraabdominal pressure (like the Valsalva maneuver described).

    The patient's occupation involving physical activity, combined with the tenderness at the right inguinal area and the appearance of a bulge during the Valsalva maneuver, all point toward
    the diagnosis of an inguinal hernia. Surgical repair is the usual treatment for symptomatic inguinal hernias.

    Enter Answer

    What is the anatomical defect associated with this condition?

    In the case of an inguinal hernia, the anatomical defect involves a weak spot or opening in the abdominal wall or inguinal canal. There are two main types of inguinal hernias:

    Indirect inguinal hernia: This type of hernia occurs when a portion of the peritoneum, the membrane that lines the abdominal cavity, protrudes through the inguinal ring. The inguinal ring
    is an opening in the abdominal wall that is present from birth. In cases of indirect inguinal hernia, the herniated contents may travel down the inguinal canal into the scrotum (in men) or
    the labia (in women).

    Direct inguinal hernia: This type of hernia occurs when the herniated contents push through a weak point in the posterior wall of the inguinal canal. Unlike indirect hernias, direct hernias
    do not typically travel down the inguinal canal; they bulge directly through the abdominal wall.

    In both types of inguinal hernias, the weakness or defect in the abdominal wall allows abdominal contents, such as intestine or fat, to protrude through, leading to the characteristic bulge
    and symptoms associated with the condition. Surgical repair involves reinforcing the weakened area to prevent the hernia from recurring.

    Enter Answer
    Answer to Case 18: Inguinal Hernia

    Summary: A 44-year-old man who works in the garden department of a home improvement center has a 6-month history of right
    groin pain. There is inguinal tenderness and a bulge following a Valsalva maneuver.

    Most likely diagnosis: Inguinal hernia

    Associated anatomical defect: Protrusion of an abdominal organ into the inguinal canal

    https://casefiles.mhmedical.com/CaseContent.aspx?gbosID=219186&gbosContainerID=62&viewByNumber=false&groupid=0 Page 1 of 2
    11/2/23, 5:45 PM

    Clinical Correlation

    A hernia is defined as an abnormal protrusion of a structure through tissues that normally contain it. Inguinal hernias are the
    most common type of hernia, occurring in men and women, although they occur much more frequently in men. This patient's
    age and his occupation, which requires frequent li!ing activity, suggest a direct or acquired inguinal hernia. Loss of tone in the
    musculature in the inguinal region predisposes to progressive stretching of the parietal peritoneum into the posterior inguinal
    canal with repeated increased intraabdominal pressure associated with the li!ing activity. If the patient were a young man or
    child, an indirect or congenital inguinal hernia would be a more likely diagnosis. With an indirect hernia, the parietal peritoneum
    at the deep inguinal ring exists as a fingerlike protrusion into the inguinal canal. This is the result of faulty closure of the
    embryonic outpouching of peritoneum into the scrotum, called the process vaginalis
    vaginalis. Indirect inguinal hernias enter the deep
    inguinal ring, stretch peritoneal tissue with repeated increases in intraabdominal pressure, traverse the length of the inguinal
    canal, and enter the scrotum. Surgical repair of the tissue defect is indicated to prevent incarceration, infarction, and necrosis of
    the herniated tissue, typically a loop of small intestine.

    Save Answers Email Answers Return to Top of Results Print Results


    Show Answers
    McGraw Hill
    Copyright © McGraw Hill
    All rights reserved.
    Your IP address is 172.225.250.26
    Terms of Use • Privacy Policy • Notice • Accessibility • Browser Support

    Access Provided by: Xavier University School of Medicine


    Silverchair
    Back To Top

    https://casefiles.mhmedical.com/CaseContent.aspx?gbosID=219186&gbosContainerID=62&viewByNumber=false&groupid=0 Page 2 of 2

    You might also like