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Point-of-Care Ultrasound for Mimicker Lesions of Incarcerated Inguinal Hernia

Inguinal hernia is the most common surgical disease in pediatric patients, and urgent intervention such as manual reduction is needed for incarcerated inguinal hernia. Torsion of undescended testes, inguinal herniated ovarian torsion, and purulent lymphadenitis are mimickers of this condition. If th...

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Autores principales: Hosokawa, Takahiro, Yoshizawa, Shinsuke, Deie, Kyoichi, Ohashi, Kensuke, Kawashima, Hiroshi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10499529/
https://www.ncbi.nlm.nih.gov/pubmed/37711640
http://dx.doi.org/10.1155/2023/5593369
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author Hosokawa, Takahiro
Yoshizawa, Shinsuke
Deie, Kyoichi
Ohashi, Kensuke
Kawashima, Hiroshi
author_facet Hosokawa, Takahiro
Yoshizawa, Shinsuke
Deie, Kyoichi
Ohashi, Kensuke
Kawashima, Hiroshi
author_sort Hosokawa, Takahiro
collection PubMed
description Inguinal hernia is the most common surgical disease in pediatric patients, and urgent intervention such as manual reduction is needed for incarcerated inguinal hernia. Torsion of undescended testes, inguinal herniated ovarian torsion, and purulent lymphadenitis are mimickers of this condition. If these mimicker lesions are misdiagnosed as incarcerated inguinal hernia, manual reduction usually fails, and edematous and erythematous changes may occur in these mimicker lesions due to manual reduction. For physicians in the emergency department, prompt decisions and familiarity with the sonographic appearance of different contents within an inguinal hernia are important to accurately diagnose these mimickers. In this case series, we present sonographic images of a typical case of incarcerated inguinal hernia (an 11-month-old male with right incarcerated inguinal hernia) and three cases of mimicker lesions (a 7-month-old female with herniated ovarian torsion, a 7-year-old boy with undescended testicular torsion, and a 2-month-old male with purulent lymphadenitis). The incidence of incarcerated inguinal hernia is reported to be higher in males (80%), on the right side (60%), and in infants and toddlers. This information is important for diagnosing mimicker lesions. In addition, to prevent manual reduction in mimicker diseases, point-of-care ultrasound before manual reduction in suspected cases of incarcerated inguinal hernia is important.
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spelling pubmed-104995292023-09-14 Point-of-Care Ultrasound for Mimicker Lesions of Incarcerated Inguinal Hernia Hosokawa, Takahiro Yoshizawa, Shinsuke Deie, Kyoichi Ohashi, Kensuke Kawashima, Hiroshi Case Rep Pediatr Case Series Inguinal hernia is the most common surgical disease in pediatric patients, and urgent intervention such as manual reduction is needed for incarcerated inguinal hernia. Torsion of undescended testes, inguinal herniated ovarian torsion, and purulent lymphadenitis are mimickers of this condition. If these mimicker lesions are misdiagnosed as incarcerated inguinal hernia, manual reduction usually fails, and edematous and erythematous changes may occur in these mimicker lesions due to manual reduction. For physicians in the emergency department, prompt decisions and familiarity with the sonographic appearance of different contents within an inguinal hernia are important to accurately diagnose these mimickers. In this case series, we present sonographic images of a typical case of incarcerated inguinal hernia (an 11-month-old male with right incarcerated inguinal hernia) and three cases of mimicker lesions (a 7-month-old female with herniated ovarian torsion, a 7-year-old boy with undescended testicular torsion, and a 2-month-old male with purulent lymphadenitis). The incidence of incarcerated inguinal hernia is reported to be higher in males (80%), on the right side (60%), and in infants and toddlers. This information is important for diagnosing mimicker lesions. In addition, to prevent manual reduction in mimicker diseases, point-of-care ultrasound before manual reduction in suspected cases of incarcerated inguinal hernia is important. Hindawi 2023-09-06 /pmc/articles/PMC10499529/ /pubmed/37711640 http://dx.doi.org/10.1155/2023/5593369 Text en Copyright © 2023 Takahiro Hosokawa et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Series
Hosokawa, Takahiro
Yoshizawa, Shinsuke
Deie, Kyoichi
Ohashi, Kensuke
Kawashima, Hiroshi
Point-of-Care Ultrasound for Mimicker Lesions of Incarcerated Inguinal Hernia
title Point-of-Care Ultrasound for Mimicker Lesions of Incarcerated Inguinal Hernia
title_full Point-of-Care Ultrasound for Mimicker Lesions of Incarcerated Inguinal Hernia
title_fullStr Point-of-Care Ultrasound for Mimicker Lesions of Incarcerated Inguinal Hernia
title_full_unstemmed Point-of-Care Ultrasound for Mimicker Lesions of Incarcerated Inguinal Hernia
title_short Point-of-Care Ultrasound for Mimicker Lesions of Incarcerated Inguinal Hernia
title_sort point-of-care ultrasound for mimicker lesions of incarcerated inguinal hernia
topic Case Series
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10499529/
https://www.ncbi.nlm.nih.gov/pubmed/37711640
http://dx.doi.org/10.1155/2023/5593369
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