Dynamic ultrasound in evaluating the spectrum of anterior abdominal wall lesions

Priyanka Rana, John D’Souza, Priscilla Joshi, Amol Bandgar, Mangal Mahajan, Nikhil Kulthe


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. 


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

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ArendCF. Static and dynamic sonography for diagnosis of abdominal wall hernias. J Ultrasound Med. 2013;32(7):1251-9.

Gokhale S. Sonography in identification of abdominal wall lesions presenting as palpable masses. J Ultrasound Med. 2006;25:1199-209.

Rumak C, Wilson S, Charboneau WJ. Dynamic ultrasound of hernias of the groin and anterior abdominal wall (Chp 13). Diagnostic Ultrasound. 2011; 517.

Rettenbacher T, Hollerweger A, Macheiner P, Gritzmann N, Gotwald T, Frass R, et al. Abdominal wall hernias: cross-sectional imaging signs of incarceration determined with sonography. American J Roentgenol. 2001;177(5):1061-6.

LeBLANC KE, LeBLANC LL, LeBLANC KA. Inguinal hernias: diagnosis and management. Am Fam Physician. 2013;87(12):844-8.

Vasileff WK, Nekhline M, Kolowich PA, Talpos GB, Eyler WR, van Holsbeeck M. Inguinal hernia in athletes: role of dynamic ultrasound. Sports health. 2017;9(5):414-21.

Shelley HJ. Incomplete Indirect Inguinal Hernias: A Study of 2,462 Hernias and 2,337 Hernia Repairs. Archives of Surgery. 1940;41(3):747-71.

Kopperundevi V, Raja S, Shafi SM. Retrospective study on incisional hernia. Paripex-Indian J Res. 2018;6(12).

Bharath PV, Reddy BK. A clinical study on ventral hernia at a tertiary care hospital. Inter Surg J. 2018;5(2):714-8.

Mingolla GP, Amelio G. Lumbar hernia misdiagnosed as a subcutaneous lipoma: a case report. J Med Case Rep. 2009;3(1):9322.