Spigelian hernia: diagnosis by high-resolution real-time sonography

Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine
M M MufidA S Al-Jurf

Abstract

The purpose of this study was to demonstrate the role of high-resolution real-time sonography in the diagnosis of spigelian hernias. The sonographic findings in three patients, two of whom had surgical confirmation, are presented. We also discuss and demonstrate the anatomic and pathologic factors that predispose to these hernias. In all three cases, real-time high-resolution sonography was very helpful in providing detailed images of the abdominal wall defect, the hernial sac and contents, and the relationship of the contents to the spigelian fascia and the rectus, external oblique, and internal oblique muscles. The role of the Valsalva and other provocative maneuvers in demonstrating the "in and out" sliding movement of the contents of the hernia also is discussed. Although the number of cases in our study is small, we think that this modality may be the most effective means for establishing this diagnosis, especially in cases with equivocal clinical findings.

Citations

Sep 22, 2011·Journal of Clinical Ultrasound : JCU·Enrico CapaccioLorenzo E Derchi
Jun 5, 2001·Hernia : the Journal of Hernias and Abdominal Wall Surgery·F B Rogers, P C Camp
Mar 31, 2010·Journal of Computer Assisted Tomography·Swati DeshmukhJustus Roos
Sep 9, 2010·Ultrasound Quarterly·A Thomas Stavros, Cindy Rapp
May 31, 2012·Hernia : the Journal of Hernias and Abdominal Wall Surgery·A PerrakisE Perrakis
Oct 30, 1999·The British Journal of Surgery·A P TomsN V Jamieson
Nov 24, 2004·Journal of Clinical Ultrasound : JCU·Jean-Yves Meuwly, François Gudinchet
Mar 27, 2004·Hernia : the Journal of Hernias and Abdominal Wall Surgery·K TsalisD Betsis
Oct 20, 2001·AJR. American Journal of Roentgenology·T RettenbacherB Schneider
Apr 26, 2011·Emergency Medicine Clinics of North America·Geoffrey E Hayden, Kevin L Sprouse

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