A groin or inguinal hernia is a bulge in the groin area. It is created when soft tissue pushes through a weak spot in the abdomen wall. Sometimes soft tissue also passes down a canal that connects the scrotum to the abdominal area. This canal is called the inguinal canal.
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A groin hernia in children can be caused by: A large inguinal canalA weakened area in the lower abdominal muscles
Groin hernias are more common in boys than girls. Factors that may increase the risk of groin hernias include: Birth defect that affects the abdominal wallFamily history of groin herniasPremature birthOpen inguinal canalConstipationChronic respiratory conditionA previous hernia on other side
A bulge is the most common symptom. It may be easier to see this bulge when your child is crying. If your child is relaxed, the bulge may look smaller. Your child may also have some occasional pain in the area.
Hernias can sometimes get caught in the abdominal wall. This is called a strangulated hernia which can lead to more serious symptoms such as: Severe pain in the groin or abdomenFeverIrritabilityRapid heart beatAbdominal swellingLoss of appetiteNausea and vomiting
A strangulated hernia requires emergency care.
You will be asked about your child’s symptoms and medical history. A physical exam will also be done. The doctor will be able to feel your child’s hernia. Other conditions will be ruled out.
An ultrasound may also be done to create images inside your body.
Most groin hernias require surgery. The surgery may be: Open surgery—An incision is made over the area so the doctor has access to the tissue. May be needed if there are complications.Laparoscopic surgery—Small incisions are made so specialized tools can be used to make the repairs.
If your premature baby has a groin hernia, surgery may be postponed for several months.
There are no current guidelines to prevent a groin hernia.
Hernia (umbilical or inguinal) in children. Boston Children's Hospital website. Available at:
http://www.childrenshospital.org/conditions-and-treatments/conditions/hernia-umbilical-or-inguinal. Accessed June 6, 2016.
Inguinal hernia. Cincinnati Children’s website. Available at:
http://www.cincinnatichildrens.org/health/i/inguinal-hernia. Updated April 2016. Accessed June 6, 2016.
Last reviewed June 2016 by Kari Kassir, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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