Objective: This study was conducted to evaluate and compare the results of ultrasound and clinical
examination in the diagnosis of inguinal hernia in children and also to evaluate the benefits and
complications of ultrasound in these children.
Study Design: This study, was performed by a cross-sectional method in Children's Medical Center
Hospital during 2013-2014 years and follow up was done until July 2020 with the help of a questionnaire
from 70 children who had been referred due to unilateral inguinal hernia symptoms. All 70 children
underwent Ultrasonographic evaluation and the results of the ultrasound were compared with the initial
clinical examination and then with surgery and follow up.
Results: In 95.7% of cases, uni or bilateral inguinal hernia was correctly diagnosed by ultrasound.
Ultrasound revealed 13.4% of cases were bilateral and 86.6% were unilateral, all of which were confirmed
by surgery. In 17.1% of cases, although they were referred with the chief complaint and clinical examination
of unilateral inguinal hernia, Bilateral diagnosis was made for them during the ultrasound, and during the
surgery, 75% of them were confirmed to have bilateral inguinal hernia.
Conclusion: Ultrasound is effective in diagnosing the opposite side of the hernia in cases with unilateral
hernia.