The diagnosis and classification of inguinal and femoral hernia on multisection spiral CT

Clinical Radiology
P T Cherian, A P Parnell

Abstract

To assess the contribution of high-quality multiplanar reconstructions of the groin from multisection computed tomography (CT) to the accurate diagnosis of inguinal and femoral hernias. Twenty-eight patients who had undergone both a contrast-enhanced CT and a herniorrhaphy were identified from hospital records. Seventeen were excluded, as the images did not include the groin area. The remaining 11 images were re evaluated on a workstation without knowledge of the surgical findings and the hernias were identified and classified using the axial data and coronal and sagittal reconstructions. Anatomical structures and radiological details that hindered or aided this classification were recorded. Hernias were identified in nine out of the 11 patients. Of the seven inguinal hernias, six were identified with the correct side recorded in each case. Of the four patients with surgical data that distinguished direct from indirect inguinal hernias, the correct diagnosis was provided in all cases using CT. Of the four patients with a femoral hernia CT was used to correctly classify three. Among the three available planes, the axial was particularly poor for the identification of the inguinal ligament compared with the other planes. In contr...Continue Reading

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Citations

May 6, 2010·Hernia : the Journal of Hernias and Abdominal Wall Surgery·J P TiernanP P Skinner
Jan 25, 2011·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Cher Heng TanPriya R Bhosale
Mar 19, 2011·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Joan Hu BurkhardtFrancis J Scholz
Jul 20, 2010·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·P SanjayA Woodward
Nov 14, 2017·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Miguel C CabarrusSpencer C Behr
Jul 19, 2017·BMJ Case Reports·Ian Y GohDavid A Grieve
Jan 14, 2018·Hernia : the Journal of Hernias and Abdominal Wall Surgery·UNKNOWN HerniaSurge Group
May 9, 2019·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·Sean J BothamRichard Tunstall
Apr 25, 2020·Hernia : the Journal of Hernias and Abdominal Wall Surgery·E PigaJ Rosenberg
Aug 16, 2017·Hernia : the Journal of Hernias and Abdominal Wall Surgery·A MiyakiY Naritaka

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