Inguinal hernia - Increased intra-abdominal pressure due to a medical condition Factor
The RMA definition of increased intra-abdominal pressure specifies the medical conditions that can increase intra-abdominal pressure and therefore cause inguinal hernia. These are:
- ascites
Ascites refers to excess fluid in the peritoneal cavity.Ascites is a sign of an underlying disease process.Some medical conditions that may lead to the development of ascites include cirrhosis, congestive heart failure, bacterial peritonitis, benign tumours, portal vein thrombosis, tuberculosis, nephrosis or disseminated carcinomatosis.
- chronic ambulatory peritoneal dialysis
Chronic ambulatory peritoneal dialysis refers to peritoneal dialysis that is of long duration, recurrent and ongoing, which allows the patient to be mobile (walking) while it is taking place.Peritoneal dialysis is a process of diffusion and ultra-filtration of the blood which is a conservative form of treatment for end-stage renal disease and chronic renal failure.It may be instituted on a continuous or cyclical basis and involves placement of a peritoneal catheter with periodic emptying of the peritoneal cavity and replacement of the dialysate (liquid which passes through the membrane during dialysis).
- extensive intra-abdominal neoplastic disease
The type of disease would need to be causing an effect on intra-abdominal pressure by way of size or mass or by obstruction.There could be wide-spread metastatic disease, or a particular organ is expanded in size due to a neoplastic disease, or a tumour may obstruct the bowel.
- pneumoperitoneum
The peritoneum is a thin serous membrane (consisting of 2 layers) lining the abdominal cavity.Pneumoperitoneum is the presence of air or gas in the abdominal cavity.Causes can include ruptured hollow viscus (eg perforated peptic ulcer, inflammatory bowel disease), infection with gas-forming organisms (eg rupture of adjacent abscess), surgery or trauma (eg endoscopic perforation, peritoneal dialysis, abdominal trauma) and via the female genital tract.In the absence of peritonitis there may only be vague symptoms, if any.
- straining during micturition due to bladder outlet or urethral obstruction
Bladder outlet or urethral obstructions can cause straining during micturition as the process of emptying the bladder is made more difficult by the complete or partial blockage of the normal flow of urine. Obstruction of the bladder outlet may be due to tumours, bladder calculi, pelvic masses, neurogenic conditions, acquired contraction, obstruction or stenosis of the urinary bladder neck, or cyclophosphamide therapy. Obstruction of the urethra may be due to benign prostatic enlargement, prostate cancer, urethral stricture, tumour or calculi, or surgery or trauma involving the penis.
Last reviewed for CCPS 18 July 2005.
Investigative Documents
| Type | Title | PDF Format | Word Format |
|---|---|---|---|
| Medical Report | Increased Intra-Abdominal Pressure due to a Medical Condition |
Preliminary questions [26087]
35009 there is some evidence that increased intra-abdominal pressure due to a medical condition may be a factor in the development or worsening of the condition under consideration.
26088 the veteran has had increased intra-abdominal pressure due to a medical condition at some time.
26089 the medical condition which resulted in increased intra-abdominal pressure is an illness or injury which is identifiable.
26090 the veteran has established the causal connection between the increased intra-abdominal pressure due to a medical condition and VEA service for inguinal hernia.
26091 the veteran has established the causal connection between the increased intra-abdominal pressure due to a medical condition and VEA service for the clinical onset of inguinal hernia.
26093 the veteran has established the causal connection between the increased intra-abdominal pressure due to a medical condition and eligible service for the clinical onset of inguinal hernia.
or
26094 the veteran has established the causal connection between the increased intra-abdominal pressure due to a medical condition and operational service for the clinical onset of inguinal hernia.
or
7334 the clinical onset of the condition under consideration occurred after the end of the veteran's last period of VEA service.
7335 the condition under consideration permanently worsened.
26092 the veteran has established the causal connection between the increased intra-abdominal pressure due to a medical condition and VEA service for the clinical worsening of inguinal hernia.
26095 the veteran has established the causal connection between the increased intra-abdominal pressure due to a medical condition and eligible service for the clinical worsening of inguinal hernia.
or
26096 the veteran has established the causal connection between the increased intra-abdominal pressure due to a medical condition and operational service for the clinical worsening of inguinal hernia.
Clinical onset and operational service [26094]
26099 as a consequence of the identified illness or injury, the veteran had increased intra-abdominal pressure within the thirty days before the clinical onset of the condition under consideration.
26100 the identified illness or injury that caused the increased intra-abdominal pressure is causally related to operational service.
Clinical onset and eligible service [26093]
26097 as a consequence of the identified illness or injury, the veteran had increased intra-abdominal pressure within the three days before the clinical onset of the condition under consideration.
26098 the identified illness or injury that caused the increased intra-abdominal pressure is causally related to eligible service.
Clinical worsening and operational service [26096]
26103 as a consequence of the identified illness or injury, the veteran had increased intra-abdominal pressure within the thirty days before the clinical worsening of the condition under consideration.
26100 the identified illness or injury that caused the increased intra-abdominal pressure is causally related to operational service.
26104 the clinical onset of the condition under consideration occurred prior to that part of operational service to which the identified illness or injury that caused the increased intra-abdominal pressure is causally related.
Clinical worsening and eligible service [26095]
26101 as a consequence of the identified illness or injury, the veteran had increased intra-abdominal pressure within the three days before the clinical worsening of the condition under consideration.
26098 the identified illness or injury that caused the increased intra-abdominal pressure is causally related to eligible service.
26102 the clinical onset of the condition under consideration occurred prior to that part of eligible service to which the identified illness or injury that caused the increased intra-abdominal pressure is causally related.