Dynamic ultrasound in evaluating the spectrum of anterior abdominal wall lesions

Authors

  • Priyanka Rana Department of Radiology, Bharati Vidyapeeth University (Deemed to be university), Pune, Maharashtra, India
  • John D’Souza Department of Radiology, Bharati Vidyapeeth University (Deemed to be university), Pune, Maharashtra, India
  • Priscilla Joshi Department of Radiology, Bharati Vidyapeeth University (Deemed to be university), Pune, Maharashtra, India
  • Amol Bandgar Department of Radiology, Bharati Vidyapeeth University (Deemed to be university), Pune, Maharashtra, India
  • Mangal Mahajan Department of Radiology, Bharati Vidyapeeth University (Deemed to be university), Pune, Maharashtra, India
  • Nikhil Kulthe Department of Radiology, Bharati Vidyapeeth University (Deemed to be university), Pune, Maharashtra, India

DOI:

https://doi.org/10.18203/2349-2902.isj20192975

Keywords:

Abdominal wall hernia, Anterior abdomen wall, Dynamic USG, Hernia, Ultrasonography

Abstract

Background: Lesions in anterior abdominal wall are evident early and their clinical detection is easy. Ultrasonography is the first investigation for the patient clinically suspected to have an anterior abdominal wall lesion. This study evaluated the anterior abdominal wall pathologies using Dynamic ultrasound (USG) and compared the findings with surgical operative findings.

Methods: There were 100 consecutive patients of all age groups with clinically suspected anterior abdominal wall pathologies referred for USG of the abdomen were selected for this study.

Results: Our study showed a higher incidence of anterior abdominal wall pathologies in male patients (77 %) with an incidence of 41 % in the age group of >60 years.  Hernias had an incidence of 93 % followed by undescended testis: 4 %, Divarication of recti: 2% and Rectus sheath hematoma: 1%. Inguinal hernia was the most common hernia with an incidence of 58%. The findings correlated with surgery and gave a sensitivity of 100 %.

Conclusions: Ultrasonography including Dynamic USG is a safe, quick, cost-effective, accurate and non-invasive modality for assessing the anterior abdominal wall lesions with a high sensitivity. Dynamic USG also helped to accurately measure the diameter of the neck and content of the sac which aided the surgeon in managing the repair of the hernia. 

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Published

2019-06-29

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Section

Original Research Articles