Definition

A groin hernia happens when soft tissue pushes through a weak spot in the wall of the belly. Sometimes the tissue also passes down a canal that links the scrotum to the abdominal area. It is called the inguinal canal.

Inguinal Hernias

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Causes

Causes may be:

• A large inguinal canal
• A weakened area in the lower abdominal muscles

Risk Factors

Groin hernias are more common in boys. They are also more common in babies that are born very early.

Symptoms

The most common symptom is a bulge in the groin. It may be easier to see this bulge when a child is crying. The child may also show signs of pain.

Hernias can sometimes get caught in the abdominal wall. This is called a strangulated hernia. Symptoms may be:

• Vomiting
• Swollen belly

A strangulated hernia needs emergency care.

Diagnosis

The doctor will ask about your child’s symptoms and health history. A physical exam will be done. This is often enough to make the diagnosis.

Images may be taken if the diagnosis is not certain. This can be done with an ultrasound.

Treatment

Groin hernias are repaired with surgery. Babies born very early may not have surgery until later.

Prevention

There are no known guidelines to prevent this health problem.