Child health · UKMLA & AKT

Inguinal hernia

A free high-yield preview for the UKMLA Applied Knowledge Test. Below are the key points to recognise inguinal hernia — the full SA Note notes add investigations, management, complications and 10 practice questions.

Key high-yield points

  • Protrusion of abdominal contents through the anterior abdominal wall into the inguinal canal - produces a visible/palpable groin bulge
  • In children: virtually all are indirect - caused by a patent processus vaginalis
  • Affects ~1-3% of children; male:female 7:1; right-sided predominance (right testis descends later)
  • Premature infants at highest risk - processus vaginalis almost invariably patent at birth

Direct hernias are rare in children - if present, suspect a connective tissue disorder (Ehlers-Danlos, Marfan's syndrome).

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