II. Indications
- Male Genital Exam
- Inguinal Hernia evaluation (men and women)
III. Anatomy
- See also Hesselbach's Triangle
- Inguinal Canal components
- Internal Inguinal Ring
- Lateral to inferior epigastrics
- Landmark: Middle of inguinal ligament
- Canal
- Carries spermatic cord in men
- Carries round ligament in women
- External Inguinal Ring
- Located at pubic tubercle
- Occurs just above inguinal ligament
- Medial and inferior to Internal Inguinal Ring
- Internal Inguinal Ring
IV. Exam: Technique for Inguinal Canal palpation in men
- Place fingertip at most dependent portion of Scrotum
- Invaginate scrotal wall to External Inguinal Ring
- Gently insert finger into canal along spermatic cord
- Move finger laterally and cephalad
- Patient coughs, strains or performs Valsalva Maneuver
V. Findings
-
Inguinal Hernia
- Small Indirect Hernia may slightly tap end of finger
- Large Indirect Hernia may be palpable as mass
- Direct Inguinal Hernia may be felt on pad of finger
- Spermatic cord tenderness (Funiculitis)
- Spermatic cord Lipoma
- Hydrocele
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Related Studies
| Definition (MSHCZE) | Průchod v dolní přední části BŘIŠNÍ STĚNY, kterým sestupuje u mužů FUNICULUS SPERMATICUS a u žen LIGAMENTUM ARCUATUM PUBIS včetně nervů a cév. Jeho vnitřní okraj začíná hlouběji v břiše jako vnitřní tříselný prstenec a končí vnějším tříselným prstencem (při okraji stehna). |
| Definition (NCI) | The oblique anatomic tunnel in the anterior lower abdomen. In males it conveys the spermatic cord structures and is the passage through which the testes descend into the scrotum; in females it conveys the round ligament. |
| Definition (MSH) | The tunnel in the lower anterior ABDOMINAL WALL through which the SPERMATIC CORD, in the male; ROUND LIGAMENT, in the female; nerves; and vessels pass. Its internal end is at the deep inguinal ring and its external end is at the superficial inguinal ring. |
| Concepts | Body Location or Region (T029) |
| MSH | D007264 |
| SnomedCT | 90785001 |
| English | Canal, Inguinal, Canals, Inguinal, Inguinal Canal, Inguinal Canals, Canalis inguinalis, canalis inguinalis, canal inguinal, inguinal canal, Inguinal canal, Inguinal canal structure (body structure), Inguinal canal structure, Inguinal canal, NOS |
| Spanish | Conducto Inguinal, estructura del canal inguinal, estructura del canal inguinal (estructura corporal), conducto inguinal, estructura del conducto inguinal, canal inguinal, estructura del conducto inguinal (estructura corporal), Canal Inguinal |
| Swedish | Ljumskkanal |
| Czech | ingvinální kanál |
| Finnish | Nivuskanava |
| Russian | PAKHOVYI KANAL, ПАХОВЫЙ КАНАЛ |
| Japanese | 鼠径管 |
| Latvian | Cirkšņa kanāls |
| Croatian | PREPONSKI KANAL |
| Polish | Kanał pachwinowy |
| Norwegian | Ingvinalkanal, Canalis inguinalis |
| French | Canal inguinal |
| German | Leistenkanal |
| Italian | Canale inguinale |
| Dutch | Canalis inguinalis, Lieskanaal |
| Portuguese | Canal Inguinal |
Ontology: Superficial inguinal ring structure (C0225227)
| Definition (NCI) | An opening in the aponeurosis of the external oblique muscle of the abdominal wall through which the spermatic cord (males), round ligament (females), ilioinguinal nerve, and genitofemoral nerve's genital branch pass. |
| Concepts | Body Part, Organ, or Organ Component (T023) |
| SnomedCT | 60325008 |
| English | Anulus inguinalis superficialis, Superficial Inguinal Ring, Superficial inguinal ring, Superficial inguinal ring structure (body structure), Superficial inguinal ring structure, External Abdominal Ring |
| Spanish | anillo inguinal superficial, estructura del anillo inguinal superficial (estructura corporal), estructura del anillo inguinal superficial |
Ontology: Structure of deep inguinal ring (C0225231)
| Concepts | Body Part, Organ, or Organ Component (T023) |
| SnomedCT | 7296001 |
| English | Anulus inguinalis profundus, deep inguinal ring, Deep inguinal ring, Structure of deep inguinal ring (body structure), Structure of deep inguinal ring |
| Spanish | anillo inguinal profundo, estructura del anillo inguinal profundo (estructura corporal), estructura del anillo inguinal profundo |
