Abstract
Background
Abdominal wall hernias are a common imaging finding in the abdomen. Ultrasonography (US) is noninvasive and allows the examination of the patient in a physiological manner. High-frequency annular US probes have become an increasingly important diagnostic tool for detecting pathological lesions in superficial organs.
Objectives
To determine the prevalence of paraumbilical hernias among adult patients by abdominal sonography in a tertiary care hospital and to describe the sonographic technique and findings.
Materials and methods
During the 2-year period between January 2008 and December 2009, we performed high-resolution US of the anterior abdominal wall on 302 patients who were referred for different reasons other than the examination of the anterior abdominal wall. The images were taken by a radiologist with 12 years of experience in US, and the images were reviewed by three consultant radiologists with expertise in body imaging.
Results
A total of 302 patients [169 females (56.0%) and 133 males (44.0%)], ranging in age from 17 to 85 years, with a mean age of 53.5 years, were enrolled in the study. The number of positive cases among females was 42 (24.9%) and that among males was 31 (23.3%).
Conclusion
High-resolution US is an efficient tool for detecting the presence of paraumbilical hernias and accurately verifying not only their content, but also the possible associated complications.
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References
Aguirre DA, Santosa AC, Casola G, Sirlin CB (2005) Abdominal wall hernias: imaging features, complications, and diagnostic pitfalls at multi-detector row CT. Radiographics 25:1501–1520
Harrison LA, Keesling CA, Martin NL, Lee KR, Wetzel LH (1995) Abdominal wall hernias: review of herniography and correlation with cross-sectional imaging. Radiographics 15:315–332
Rutkow IM (2003) Demographic and socioeconomic aspects of hernia repair in the United States in 2003. Surg Clin North Am 83:1045–1051, v–vi
Miller PA, Mezwa DG, Feczko PJ, Jafri ZH, Madrazo BL (1995) Imaging of abdominal hernias. Radiographics 15:333–347
Ishida H, Konno K, Hamashima Y, Naganuma H, Komatsuda T, Sato M, Ishida J, Masamune O (1998) Anterior abdominal wall pathologies detected by high-frequency annular array. Eur J Ultrasound 7:167–174
Jamadar DA, Jacobson JA, Morag Y, Girish G, Dong Q, Al-Hawary M, Franz MG (2007) Characteristic locations of inguinal region and anterior abdominal wall hernias: sonographic appearances and identification of clinical pitfalls. AJR Am J Roentgenol 188:1356–1364
Emby DJ, Aoun G (2005) Valsalva’s maneuver in abdominal wall hernia imaging. AJR Am J Roentgenol 185:1081–1082
Rettenbacher T, Hollerweger A, Macheiner P, Gritzmann N, Gotwald T, Frass R, Schneider B (2001) Abdominal wall hernias: cross-sectional imaging signs of incarceration determined with sonography. AJR Am J Roentgenol 177:1061–1066
Wechsler RJ, Kurtz AB, Needleman L, Dick BW, Feld RI, Hilpert PL, Blum L (1989) Cross-sectional imaging of abdominal wall hernias. AJR Am J Roentgenol 153:517–521
Young J, Gilbert AI, Graham MF (2007) the use of ultrasound in the diagnosis of abdominal wall hernias. Hernia 11:347–351. doi:10.1007/s10029-007-0227-2
Upponi S, Bungay H (2006) Imaging of abdominal wall hernias. Imaging 18(4):268–277
Jaffe TA, O’Connell MJ, Harris JP, Paulson EK, DeLong DM (2005) MDCT of abdominal wall hernias: is there a role for Valsalva’s maneuver? AJR Am J Roentgenol 184:847–851
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Bedewi, M.A., El-Sharkawy, M.S., Al Boukai, A.A. et al. Prevalence of adult paraumbilical hernia. Assessment by high-resolution sonography: a hospital-based study. Hernia 16, 59–62 (2012). https://doi.org/10.1007/s10029-011-0863-4
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DOI: https://doi.org/10.1007/s10029-011-0863-4