Ekberg O
Br J Radiol. 1981 Jun;54(642):496-9. doi: 10.1259/0007-1285-54-642-496.
Inguinal hernias can be demonstrated by positive contrast herniography in children and adults. In this latter age-group direct inguinal hernias are frequent and can appear with different location and shape. In this series of 39 inguinal hernias in 25 adults five different types could be distinguished, according to location. Lateral direct inguinal hernias were found protruding in an anterior direction from the medial inguinal fossa. Inguinofemoral hernias protruded in a mainly inferior direction from the medial inguinal fossa. Medial direct inguinal hernias protruded from the lateral region of the supravesical fossa just medial to the medial inguinal fold. Diverticular direct inguinal hernias were located in the medial aspect of the supravesical fossa. Supravesical inguinal hernias were located in the mid-line. The distinction between these direct hernias and their relation to and distinction from other hernias in the inguinal region is discussed.
腹股沟疝在儿童和成人中可通过阳性对比疝造影显示。在成人这个年龄组中，腹股沟直疝很常见，且可能呈现不同的位置和形状。在这组25名成人的39例腹股沟疝中，根据位置可区分出五种不同类型。外侧腹股沟直疝从腹股沟内侧窝向前突出。腹股沟股疝主要从腹股沟内侧窝向下突出。内侧腹股沟直疝从膀胱上窝外侧区域、恰在腹股沟内侧襞内侧突出。憩室性腹股沟直疝位于膀胱上窝内侧。膀胱上腹股沟疝位于中线。文中讨论了这些直疝之间的区别以及它们与腹股沟区其他疝的关系和区别。
