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Paraesophageal hernia is a potentially lethal condition that has not been previously discussed in the family medicine literature. It accounts for 3.5% to 5 % 1 of all hiatal hernias. Diagnosis of paraesophageal hernia can be difficult. Patients are usually elderly and have symptoms of esophageal reflux or postprandial pain, bloating, and vomiting. The patient might have a history of hiatal hern...

Clinically, pure spermatic-cord lipoma has not been recognized as a disease entity but regarded as an incidental finding at the time of hernia repair, because it presents groin symptoms and clinical findings indistinguishable from those of inguinal hernia. We report the successful treatment of case of huge pure spermatic-cord lipoma originally misdiagnosed as inguinal hernia. The patients had t...

1 Clain A. Traumatic hernia. BrJtSurg 1964;51:549-50. 2 Atiemo EA, Goswami G. Traumatic ventral hernia. J Trauma 1974;14:181-2. 3 Dajee H, Nicholson DM. Traumatic abdominal hernia. Trauma 1979;19:710-1 1. 4 Payne DD, Resnicoff SA, States JD, Williams JS. Seat belt abdominal wall muscular avulsion. J Trauma 1 973;13:262-7. 5 Malangoni M, Condon RE. Traumatic abdominal wall hernia. I Trauma 1983;...

OBJECTIVES Several clinical factors; overweight, male gender and increasing age, have been implicated as the etiology of hiatal hernia. Esophageal shortening due to acid perfusion in the lower esophagus has been suggested as the etiological mechanism. However, little is known about the correlation between gastric acidity and sliding hiatus hernia formation. This study examined whether increased...

Spigelian hernia was named after the Belgian anatomist Adriaan van den Spieghel who first described the semilunar line in 1645. Spigelian hernia remains an exceedingly rare abdominal wall defect amongst all the abdominal wall hernias. It has a reported incidence of 0.2 to 2% in the literature. Clinical diagnosis of Spigelian hernia remains a challenge to all clinicians due to its vague and non-...

BACKGROUND The aetiology and pathogenesis of abdominal wall hernia formation is complex. Optimal treatment of hernias depends on a full understanding of the pathophysiological mechanisms involved in their formation. The aim of this study was to review the literature on specific collagen alterations in abdominal wall hernia formation. METHODS A computer-assisted search of the medical databases...

BACKGROUND a small number of reports have suggested that inpatients with inguinal hernia, certain pelvic anatomical traits prevail, which are characterized by the low position of the groin, resulting in a marked verticality of the inguinal fold.Based on this notion we investigated a possible correlation of this anatomical characteristic with hernia development, by applying a simple clinical res...

HYPOTHESIS A number of risk factors for incisional hernia have been identified, but the pathogenesis remains unclear. Based on previous findings of smoking as a risk factor for wound complications and recurrence of groin hernia, we studied whether smoking is associated with incisional hernia. DESIGN Cohort study. Clinical follow-up study for incisional hernia 33 to 57 months following laparot...

INTRODUCTION Cryptorchidism is common in children but is rare in the elderly. It often presents with a constellation of signs and symptoms similar to routine inguinal hernias. We present the case of an elderly man with cryptorchidism containing a Leydig cell tumor and provide clinical insights. PRESENTATION OF CASE An-84-year old man was admitted with an incarcerated right lower quadrant hern...