Overview Snapshot A 54-year-old male comes to the emergency room with right-sided groin pain, swelling, colicky abdominal pain and abdominal distension, nausea and 2 episodes of vomiting. He had been having intermittent pain and swelling in the right groin for 2 years always triggered by straining during defecation. He recalls that on all previous occasions, the swelling was reduced with gentle finger massage. However, finger massage was ineffective this time. He has a 20 pack-year smoking history. Examination reveals an overweight male with abdominal distension. There is a red, tender swelling in his right groin, descending into his right scrotum. Radiographs reveal dilated small bowel loops. He was diagnosed with an incarcerated, obstructed,indirect right inguinal hernia. Introduction Clinical definition login to view 4 more bullets Epidemiology Inguinal hernia login to view 17 more bullets Femoral hernia login to view 6 more bullets Umbilical hernia login to view 12 more bullets Inguinal and Femoral Hernia Pathophysiology login to view 12 more bullets Presentation login to view 11 more bullets Imaging login to view 3 more bullets Studies login to view 2 more bullets Treatment login to view 10 more bullets Umbilical Hernia Pathophysiology login to view 2 more bullets Presentation login to view 6 more bullets Studies login to view 2 more bullets Treatment login to view 9 more bullets Differential Diagnoses Hydrocele Varicocele Lipoma Testicular torsion Epididymitis Inguinal adenopathy Groin abscess Complications Complications include login to view 3 more bullets