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Role of Ultrasonography and Multi-detector CT in Imaging of Anterior Abdominal Wall Lesions
International Journal of Medical Imaging
Volume 3, Issue 5, September 2015, Pages: 98-104
Received: Jul. 7, 2015; Accepted: Aug. 5, 2015; Published: Aug. 19, 2015
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El-Sayed El-Mekkawy El-Sayed, Radiology Department, Faculty of Medicine, Menoufia University, Shibeen El Koom, Egypt
Tarek Fawzy Abd-Ella, Radiology Department, Faculty of Medicine, Menoufia University, Shibeen El Koom, Egypt
Asmaa Saied Zaian, Radiology Department, Shebin El-Koom Teaching Hospital, Menoufia, Shibeen El Koom, Egypt
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This study aim to evaluate the role of US and CT when needed in diagnosis of anterior abdominal wall lesions. Ultrasound and Multi-detector computed tomography are currently the study of choice to diagnose abdominal wall lesions; mostly hernia it also allows accurate identification of abdominal wall hernias and their content, and it allows to assess the possible complications, differentiate from other abdominal masses like: tumors, hematoma, abscess and it helps in the detection of pre- or postoperative complications. This prospective study included 50 patients suffering from abdominal wall swelling, US examination of abdomen was performed for all patients and only 10 patients had under gone US and CT examination the abdomen. The ratio of females to males was 28 to 22. Their ages ranged from 22-60 years with mean age of 40 years. Ventral hernia was the most common cause of anterior abdominal wall lesions 26 cases (52%), anterior abdominal lump 14 cases (28%), 10 cases were needed to CT evaluation. Ventral hernia was the most common lesions (30%) 3 cases out of 10 cases, strangulated hernias (20%) 2 cases, spegilan hernia, anterior abdominal wall abscess and desmoid tumor (10%) 1 case for each. US is the prime investigation for patients suspected of having abdominal wall swellings and was the first step in the diagnosis while CT scan was a sensitive tool for imaging and we recommend it as a confirmative imaging method
CT, US, Hyper-Echoic, Hypo-Echoic, Hyper-Dense
To cite this article
El-Sayed El-Mekkawy El-Sayed, Tarek Fawzy Abd-Ella, Asmaa Saied Zaian, Role of Ultrasonography and Multi-detector CT in Imaging of Anterior Abdominal Wall Lesions, International Journal of Medical Imaging. Vol. 3, No. 5, 2015, pp. 98-104. doi: 10.11648/j.ijmi.20150305.13
Gokhale S.: Sonography in identification of abdominal wall lesions presenting as palpable masses. J Ultrasound Med 2006; 25:1199-1209.
Suleiman S, Johnston DE. The abdominal wall: an over looked source of pain. Am Fam Physician 2001; 64:431–438
Diego A. A., Agnes C. S., Giovanna C., Claude B. S.. Abdominal Wall Hernias: Imaging Features, Complications, and Diagnostic Pitfalls at Multi–Detector Row CT1. Radio Graphics 2005; 25:6, 1501-1520
Rodriguez-Hermosa JI, Codina-Cazador A, Ruiz-Feliu B, Roig-Garcia J, Albiol-Quer M, Planellas-Gine P. Incarcerated umbilical hernia in a super-super-obese patient. Obes Surg 2008;18(7):893-5
Halm JA, Heisterkamp J, Veen HF, Weidema WF. Long-term follow-up umbilical hernia repair: are there risk factors for recurrence after simple and mesh repair. Hernia 2005;9(4):334-7
Bailey & Love`s short practice of surgery. Incisional hernia, 24th ed., 2004 By Arnold, 1260, wound healing 28.
Louring-Andersen M, Hjorne FP, Skovdal J, Bisgaard T. Diagnosis and treatment of Spigelian hernia. UgeskrLaeger 2009;171(48): 3518-22
Moles Morenilla L, Docobo Durántez F, Mena Robles J, Quinta Frutos R. Spigelian hernia in Spain. An analysis of 162 cases. Rev Esp Enferm Dig 2005; 97(5): 338-47.
Neblett WW 3rd, Pietsch JB, Holcomb GW Jr. Acute abdominal conditions in children and adolescents. Surg Clin N Amer 1992;68:415–430
Mura A, Kaneko H, Shirakura T, Shiba T, Imamura M. A case of primary abscess of the abdominal wall. J Jpn Surg Assoc. 2002; 63:728-31. Japanese.)
Lefevre JH, Parc Y, Kernιis S, Goasguen N, Benis M, Parc R, Tiret E. Risk factors for development of desmoids tumors in familial adenomatous polyposis. Br J Surg 2008;95:1136-9.
Women DOUGLAS C., ROTIMI O., Extragenital endometriosis – a clinic pathological review of a Glasgow hospital experience with case illustrations, J Obstet Gynaecol, 2004, 24(7):804–808.
Gandolfo N, Pretolesi F, Martinoli C, Crespi G, Derchi L. Radiol Med. Ju-Aug; 2002, 104(1-2):44-51.
Stabile Ianora AA, Midiri M, Vinci R, Rotondo A, Angelelli G. Abdominal wall hernias: imaging with spiral CT. Eur Radiol 2000; 10:914-919.
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