Sonographic appearance of pediatric omental-containing inguinal hernia: A case report

Hemorrhagic, omental-containing inguinal hernia is a very rare cause of acute scrotum in the pediatric population. Here, we describe the case of a 4-year-old boy who presented with acute scrotal swelling and pain. Scrotal ultrasound was used to identify a left indirect inguinal hernia with contents...

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Main Authors: Derick R. Bunn, BS, Nathan C. Hull, MD, D. Dean Potter, Jr, MD
Format: Article
Language:English
Published: Elsevier 2025-08-01
Series:Radiology Case Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S1930043325004194
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author Derick R. Bunn, BS
Nathan C. Hull, MD
D. Dean Potter, Jr, MD
author_facet Derick R. Bunn, BS
Nathan C. Hull, MD
D. Dean Potter, Jr, MD
author_sort Derick R. Bunn, BS
collection DOAJ
description Hemorrhagic, omental-containing inguinal hernia is a very rare cause of acute scrotum in the pediatric population. Here, we describe the case of a 4-year-old boy who presented with acute scrotal swelling and pain. Scrotal ultrasound was used to identify a left indirect inguinal hernia with contents suggestive of inflamed fat and hemorrhagic debris. Laparoscopic inguinal hernia repair and subsequent pathological evaluation confirmed the diagnosis of left indirect inguinal hernia with incarcerated omentum and hemorrhagic ascites. Given the variability of herniated structures in pediatric patients of different ages and sexes, appropriate recognition of hernia contents by ultrasonography is essential for reducing additional imaging studies and accelerating treatment.
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spelling doaj-art-6ef310132ab24db6bf08a57d36e8ed4e2025-08-20T03:26:38ZengElsevierRadiology Case Reports1930-04332025-08-012084118412210.1016/j.radcr.2025.04.126Sonographic appearance of pediatric omental-containing inguinal hernia: A case reportDerick R. Bunn, BS0Nathan C. Hull, MD1D. Dean Potter, Jr, MD2Department of Radiology, Mayo Clinic, 200 1st St SW, Rochester, MN, 55902, USA; Corresponding author.Department of Radiology, Mayo Clinic, 200 1st St SW, Rochester, MN, 55902, USADivision of Pediatric Surgery, Mayo Clinic, 200 1st Street SW, Rochester, MN 55905 USAHemorrhagic, omental-containing inguinal hernia is a very rare cause of acute scrotum in the pediatric population. Here, we describe the case of a 4-year-old boy who presented with acute scrotal swelling and pain. Scrotal ultrasound was used to identify a left indirect inguinal hernia with contents suggestive of inflamed fat and hemorrhagic debris. Laparoscopic inguinal hernia repair and subsequent pathological evaluation confirmed the diagnosis of left indirect inguinal hernia with incarcerated omentum and hemorrhagic ascites. Given the variability of herniated structures in pediatric patients of different ages and sexes, appropriate recognition of hernia contents by ultrasonography is essential for reducing additional imaging studies and accelerating treatment.http://www.sciencedirect.com/science/article/pii/S1930043325004194Indirect inguinal herniaOmentumPediatricsScrotumUltrasound
spellingShingle Derick R. Bunn, BS
Nathan C. Hull, MD
D. Dean Potter, Jr, MD
Sonographic appearance of pediatric omental-containing inguinal hernia: A case report
Radiology Case Reports
Indirect inguinal hernia
Omentum
Pediatrics
Scrotum
Ultrasound
title Sonographic appearance of pediatric omental-containing inguinal hernia: A case report
title_full Sonographic appearance of pediatric omental-containing inguinal hernia: A case report
title_fullStr Sonographic appearance of pediatric omental-containing inguinal hernia: A case report
title_full_unstemmed Sonographic appearance of pediatric omental-containing inguinal hernia: A case report
title_short Sonographic appearance of pediatric omental-containing inguinal hernia: A case report
title_sort sonographic appearance of pediatric omental containing inguinal hernia a case report
topic Indirect inguinal hernia
Omentum
Pediatrics
Scrotum
Ultrasound
url http://www.sciencedirect.com/science/article/pii/S1930043325004194
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