What symptom does colonic hernia have?

summary

Colic hernia means that an organ or tissue in the human body leaves its normal anatomical position and enters another part through congenital or acquired weak points, defects or pores. Common hernias are umbilical hernia, inguinal direct hernia, indirect hernia, incisional hernia, etc. What symptom does colonic hernia have? Let's talk about it.

What symptom does colonic hernia have?

The main symptom of colic hernia is in the inguinal area, where the mass can be seen or felt. The mass is formed by the prolapse of organs in the abdominal cavity to the hernia bag. Most of the prolapsed organs are small intestine. Therefore, it feels soft to the touch. When it goes back, it is often accompanied by grunting murmurs. Other organs such as large intestine, appendix and omentum may also prolapse. In women, ovarian prolapse is more common, so it is often felt as big as thumb, hard and most of them have tenderness.

In addition, some huge hernias with long course and large abdominal wall defects have lost the function of resisting the prominent contents because of the large amount of contents, and are often difficult to be accepted. In addition, a small number of hernias with a long course of disease, due to the falling force of the contents constantly entering the hernia sac, the peritoneum above the neck of the sac is gradually pushed towards the hernia sac, especially in the iliac fossa area. The combination of the retroperitoneum and the posterior abdominal wall is very loose, and it is easier to be pushed, so that the cecum (including appendix), sigmoid colon or bladder move down and become a part of the hernia sac wall. This kind of hernia is called sliding hernia, which also belongs to irreducible hernia.

After incarceration of hernia, if the content is intestinal tube, the intestinal wall and its mesentery can be compressed at the neck of hernia sac, which first obstructs the venous return, leading to blood and edema of intestinal wall. The intestinal wall and its mesentery in hernia sac gradually thickens, and the color changes from normal light red to dark red gradually. There may be light yellow exudate accumulation in the sac. As a result, the compression of the bowel is aggravated and it is more difficult to recover. If the incarceration can be removed in time, the diseased bowel can return to normal.

matters needing attention

The diagnosis of abdominal incisional hernia usually does not need special examination, sometimes preoperative evaluation needs to understand the primary disease, imaging examination can see the contents of the hernia, especially CT can clearly see the interruption of the continuity of the anterior abdominal wall, hernia content protruding.