Inguinal hernia in Child
Symptoms from inguinal hernias can vary considerably. The hernia can be seen as an asymptomatic bulge, can cause intermittent discomfort, or be an acute emergency with severe abdominal pain, bowel obstruction, and sepsis if strangulation or bowel obstruction develops. Symptoms typically worsen with increased intraabdominal pressure (eg, prolonged standing, weight lifting).
Inguinal hernias can be classified as either direct or indirect, determined by their location. An indirect inguinal hernia's defect is at the internal inguinal ring. A direct inguinal hernia's defect is medial to the inferior epigastric vessels within Hesselbach's triangle. Indirect inguinal hernias are more common and are often attributed to congenital defects; direct inguinal hernias are often acquired in the setting of connective tissue weaknesses.
K40.90 – Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent
396232000 – Inguinal Hernia
Differential Diagnosis & Pitfalls