A 15-year male presented with pain in the inguinal area and lower abdomen presents with tenderness over a non-reducible swelling
with negative cough impulse. Diagnosis:
Strangulation occurs more often in patients who have worn a truss for a long time and in those with a partially reducible or an irreducible hernia
Indirect inguinal hernias strangulate more commonly, the direct variety not so often because of the wide neck of the sac.
MC constricting agent: Neck of the sac > External inguinal ring in children > Adhesions within the sac.
MC contents: Small intestine > Omentum Clinical features of strangulated inguinal Hernia
Sudden onset inguinal pain
Generalized abdomen pain
Tense and extremely tender hernia
Discolouration of overlying skin with a reddish or bluish tinge
There is no expansile cough impulse.
Strangulated hernia
Testicular torsion
Scrotal abscess
Femoral hernia