Which symptoms are associated with different types of abdominal hernias?

Updated: Jul 01, 2021
  • Author: Assar A Rather, MBBS, MD, FACS; Chief Editor: John Geibel, MD, MSc, DSc, AGAF  more...
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Further anatomic considerations must be assessed in relation to the above clinical findings. The location of the underlying hernia may provide a unique constellation of symptoms, with or without specific anatomic findings, as follows:

  • Femoral hernia - Because of the position of this hernia, medial thigh pain is possible in addition to groin pain
  • Obturator hernia - Because this hernia is hidden within deeper structures, it may not present as a swelling; patients may complain of abdominal pain or medial thigh pain, weight loss, or recurrent episodes of bowel or partial bowel obstruction; pressure on the obturator nerve causes pain in the medial thigh that is relieved by thigh flexion but may be exacerbated by extension or external rotation of the hip (Howship-Romberg sign)
  • Incisional hernia - Because this hernia is usually asymptomatic, patients typically present with a bulge at the site of a previous incision; the lesion may become larger upon standing or with increasing intra-abdominal pressure

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