Clinical Value of Ultrasonic Examination of the Contralateral Side of Pediatric Patients with Congenital Inguinal Hernia

Abstract

randomly chosen group of 110 children and infants(96 boys and 14 girls), varying in age from 1 month to 11 years, with clinically diagnosed unilateral inguinal hernia were studied to detect the presence of a PPV on the contralateral side, during the period from September 2017 to August 2018, in Ahmed Maher Teaching Hospital, Cairo, Egypt. US examination was done for all patients on both the symptomatic, and the asymptomatic sides. US examination of the symptomatic sides revealed the presence of hernia sac in all the groins and were proved surgically. Sonographic examination of the asymptomatic contralateral sides showed positive findings in 39 patients (35.5%). The incidence of positive ultrasonic findings on the contralateral sides was 46.3% in infants below one year (Group I) and it was 35.3% in children from 1 to 5 years (Group II), while it was 22.9% in children more than 5 years (Group III). In boys the incidence of positive ultrasonic findings was 34.4%, and in girls the incidence was 42.9%.