Underdiagnosis of umbilical hernias in CT scans in a multicenter study – the radiologically neglected pathology and its surgical implications
- 05.06.2024
- Original Article
Erschienen in:
- Verfasst von
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Luis Adrian Alvarez-Lozada
Luis Adrian Alvarez-Lozada
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Luis Adrian Alvarez-Lozada and Francisco Javier Arrambide-Garza contributed equally, and both should be considered as first authors.
- Clinical-Surgical Research Group (GICQx), Human Anatomy Research Group (GIA), Human Anatomy Department, School of Medicine, Universidad Autonoma de Nuevo Leon, C.P. 64460, Monterrey, México
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Francisco Javier Arrambide-Garza
Francisco Javier Arrambide-Garza
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Luis Adrian Alvarez-Lozada and Francisco Javier Arrambide-Garza contributed equally, and both should be considered as first authors.
- Clinical-Surgical Research Group (GICQx), Human Anatomy Research Group (GIA), Human Anatomy Department, School of Medicine, Universidad Autonoma de Nuevo Leon, C.P. 64460, Monterrey, México
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Alejandro Quiroga-Garza
Korrespondierender Autor Alejandro Quiroga-Garza
- Clinical-Surgical Research Group (GICQx), Human Anatomy Research Group (GIA), Human Anatomy Department, School of Medicine, Universidad Autonoma de Nuevo Leon, C.P. 64460, Monterrey, México
- Servicio de Cirugía General, Hospital de Traumatología y Ortopedia No.21, Instituto Mexicano del Seguro Social, Monterrey, Mexico
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Monica Catalina Huerta-Sanchez
Monica Catalina Huerta-Sanchez
- Department of Radiology, School of Medicine, Universidad Autonoma de Nuevo Leon, University Hospital “Dr. Jose Eleuterio Gonzalez”, Monterrey, Mexico
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Ana Escobar-Luna
Ana Escobar-Luna
- Department of Radiology, Instituto Tecnológico y de Estudios Superiores de Monterrey, Hospital San José Tec Salud, Monterrey, Mexico
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Miguel Antonio Sada-Treviño
Miguel Antonio Sada-Treviño
- Department of Radiology, Doctors Hospital Auna, Monterrey, Mexico
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Carlos Enrique Ramos-Proaño
Carlos Enrique Ramos-Proaño
- Department of Radiology, Instituto Tecnológico y de Estudios Superiores de Monterrey, Hospital San José Tec Salud, Monterrey, Mexico
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Rodrigo Enrique Elizondo-Omaña
Korrespondierender Autor Rodrigo Enrique Elizondo-Omaña
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Luis Adrian Alvarez-Lozada and Francisco Javier Arrambide-Garza contributed equally, and both should be considered as first authors.
- Clinical-Surgical Research Group (GICQx), Human Anatomy Research Group (GIA), Human Anatomy Department, School of Medicine, Universidad Autonoma de Nuevo Leon, C.P. 64460, Monterrey, México
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- Erschienen in
- Hernia | Ausgabe 5/2024
Abstract
Purpose
Umbilical hernias (UH) have a higher prevalence than previously considered. With the high workload radiologists must endure, UH can be missed when interpreting a computed tomography scan (CT). The clinical implications of its misdiagnosis are yet to be determined. Unreporting could lead to content lesions in surgical approaches and other potential complications. The aim was to determine the prevalence of UH using CT scans, and the incidence of radiological reporting.
Methods
A multicenter, cross-sectional study was performed in four tertiary-level hospitals. CT scans were reviewed for abdominal wall defects at the umbilicus, and radiological reports were examined to compare findings. In the case of UH, transversal, anteroposterior, and craniocaudal lengths were obtained.
Results
A total of 1557 CTs were included, from which 971 (62.4%, 95% CI 0.59–0.64) had UH. Out of those, 629 (64.8%, 95% CI 0.61–0.67) of the defects were not included in the radiological report. Smaller UH (x̄: 7.7 × 6.0 mm) were more frequently missed. Of the reported UH, 187 (54.7%) included at least one axis measurement, 289 (84.5%) content description, and 146 (42.7%) whether or not there were complication signs.
Conclusion
There is a high prevalence of UH, and a high incidence of under-reporting. This raises the question of whether this is a population-based finding or the norm worldwide. The reason of under-reporting and the clinical implications of these must be addressed in further studies.
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- Titel
- Underdiagnosis of umbilical hernias in CT scans in a multicenter study – the radiologically neglected pathology and its surgical implications
- Verfasst von
-
Luis Adrian Alvarez-Lozada
Francisco Javier Arrambide-Garza
Alejandro Quiroga-Garza
Monica Catalina Huerta-Sanchez
Ana Escobar-Luna
Miguel Antonio Sada-Treviño
Carlos Enrique Ramos-Proaño
Rodrigo Enrique Elizondo-Omaña
- Publikationsdatum
- 05.06.2024
- Verlag
- Springer Paris
- Erschienen in
-
Hernia / Ausgabe 5/2024
Print ISSN: 1265-4906
Elektronische ISSN: 1248-9204 - DOI
- https://doi.org/10.1007/s10029-024-03079-9
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