Pantaloon Hernia Symptoms, Causes, Repair, ICD-10 & CPT Code

What is Pantaloon Hernia?

When a direct hernia and an indirect hernia develop on the same side of the groin, the condition is known as a pantaloon hernia, which is relatively uncommon. The two hernia sacs are separated by epigastric vessels, which gives them the appearance of a pair of pants. This is how the condition got its name, pantaloon. There are a few different names for this kind of hernia, including saddlebag hernia, dual hernia, and Romberg's hernia.

An inguinal hernia can be either direct, in which case it protrudes into the groin, or indirect, in which case it protrudes into the inguinal canal and runs along its length. Swelling of the scrotum and testicles can occur if an indirect inguinal hernia extends all the way through the inguinal canal. A pantaloon hernia is brought on by the simultaneous development of an indirect and direct inguinal hernia.

A pantaloon hernia shows up in the same way as other types of hernias in the abdominal wall. It's possible for patients to suffer pain or discomfort in the groin area, especially when performing strenuous activities like lifting heavy things or straining during bowel movements. A swelling or protrusion in the groin area that is accentuated by standing or coughing may also be present.

Pantaloon Hernia Symptoms

Possible symptoms of a pantaloon hernia range from modest abdominal pain to urinary symptoms including repeated UTIs and bowel blockage caused by the herniated organ. Swelling of the scrotum and testicles can occur if the hernia from an indirect inguinal hernia makes its way through the inguinal canal. The disorder can be recognized by any pairing of two hernia sacs located close to one another in the femoral or inguinal region. In some circumstances, the lower abdomen may experience widespread discomfort and uncontrollable swelling. It's critical to get medical help right away if you think you could have a pantaloon hernia or if you experience any of these symptoms.

Pantaloon Hernia Causes

Combinations of factors, including the following, can result in inguinal hernias, including Pantaloon hernias:

Having weakened muscles or tissues in the abdominal wall increases the risk of developing a hernia. This may be the result of aging, obesity, or pregnancy, among other potential causes. Hernias can also be caused by activities like heavy lifting, coughing, or straining during bowel movements, all of which increase pressure on the abdominal wall.

Hernias are more common in those with a family history of the condition because the abdominal wall is weaker in those individuals. Hernias are often the result of repeated strain on the abdominal muscles, such as that caused by a persistent cough or a lack of bowel movement.

Hernia risk is increased by prior abdominal surgery, which can weaken the abdominal wall and cause a hernia to form. Hernias can be more likely to occur in people with certain illnesses, including cystic fibrosis, chronic obstructive pulmonary disease (COPD), and connective tissue abnormalities.

Pantaloon Hernia Repair

Surgical repair is the gold standard for treating a pantaloon hernia, just as it is for treating any other type of inguinal hernia. Depending on the surgical skill level and economic considerations, options for repair include open and laparoscopic procedures, including TAPP (Trans-Abdominal Pre-Peritoneal Repair) and TEP (Total Extra-Peritoneal Repair). The purpose of the operation is to decrease the hernia sacs and reinforce the abdominal wall to avoid a recurrence. A comprehensive patient history, physical assessment, ultrasonography, and Computerized tomography are required for the diagnosis of hernias. If you think you may have a pantaloon hernia or are having symptoms, it's crucial to be checked out as soon as possible.

Pantaloon Hernia ICD-10

A pantaloon hernia is categorized as an inguinal hernia in ICD-10 because the condition is not specifically identified. K40.90 is the ICD-10-CM Diagnostic Code that is used for a unilateral inguinal hernia that does not have gangrene or blockage and is not indicated as recurrent. The recurring bilateral inguinal hernia without gangrene is classified as ICD-10-CM code K40.01.

Pantaloon Hernia CPT Code

There is no separate CPT code that is designated for the repair of a pantaloon hernia. The repair of a pantaloon hernia is categorized the same way as the repair of any other type of inguinal hernia. If both hernia repairs are being done by the same incision, then just one code (49505) needs to be used.