Femoral hernia diagnostic study of choice

Revision as of 20:26, 8 February 2018 by Khurram Afzal (talk | contribs)
Jump to navigation Jump to search

Femoral hernia Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Femoral hernia from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice

History and Symptoms

Physical Examination

Laboratory Findings

X Ray

CT

MRI

Ultrasound

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Femoral hernia diagnostic study of choice On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Femoral hernia diagnostic study of choice

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Femoral hernia diagnostic study of choice

CDC on Femoral hernia diagnostic study of choice

Femoral hernia diagnostic study of choice in the news

Blogs on Femoral hernia diagnostic study of choice

Directions to Hospitals Treating Femoral hernia

Risk calculators and risk factors for Femoral hernia diagnostic study of choice

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: M. Khurram Afzal, MD [2]

Overview

Ultrasound is the diagnostic study of choice for diagnosing femoral hernia as it has low cost, widespread availability and low risk of radiation exposure. If it is an emergent case with signs of incarceration that is difficult to diagnose based on clinical examination, an abdominal CT scan must be performed to confirm the diagnosis.

Diagnostic Study of Choice

Study of choice:

  • Ultrasound is the diagnostic study of choice for the diagnosis of femoral hernia.[1]
  • If it is an emergent case and the patient presents with signs of incarceration and it is difficult to diagnose based on clinical examination, an abdominal CT scan must be performed to confirm the diagnosis.[2]

The sensitivity and specificity of ultrasound is as follows:[3][4]

Sensitivity Specificity
Ultrasound 100% 100%
Femoral hernia
Source: radiopaedia.org, Case courtesy of Dr Maulik S Patel [5]
Diagnostic results
  • Color doppler ultrasound may be helpful in the diagnosis of complications of femoral hernia; incarceration by observing the blood supply in the contents of the hernia sac.[1]
Sequence of Diagnostic Studies

The ultrasound should be performed when:[2]

  • The patient presented with swelling or lump in the upper thigh as the first step of diagnosis.
  • If it is an emergent case with signs of incarceration, abdominal CT scan can be performed to confirm the diagnosis.

References

  1. 1.0 1.1 1.2 Yang XF, Liu JL (2014). "Acute incarcerated external abdominal hernia". Ann Transl Med. 2 (11): 110. doi:10.3978/j.issn.2305-5839.2014.11.05. PMC 4245506. PMID 25489584.
  2. 2.0 2.1 Whalen, H. R.; Kidd, G. A.; O'Dwyer, P. J. (2011). "Femoral hernias". BMJ. 343 (dec08 1): d7668–d7668. doi:10.1136/bmj.d7668. ISSN 0959-8138.
  3. Bradley M, Morgan D, Pentlow B, Roe A (2003). "The groin hernia - an ultrasound diagnosis?". Ann R Coll Surg Engl. 85 (3): 178–80. doi:10.1308/003588403321661334. PMC 1964363. PMID 12831490.
  4. Djuric-Stefanovic A, Saranovic D, Ivanovic A, Masulovic D, Zuvela M, Bjelovic M, Pesko P (2008). "The accuracy of ultrasonography in classification of groin hernias according to the criteria of the unified classification system". Hernia. 12 (4): 395–400. doi:10.1007/s10029-008-0352-6. PMID 18293054.
  5. "https://radiopaedia.org/">Radiopaedia.org</a>. From the case <a href="https://radiopaedia.org/cases/10124">rID: 10124

Template:WH Template:WS ​​ ​​