Femoral hernia CT: Difference between revisions

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{{Femoral hernia}}
{{Femoral Hernia}}
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==Overview==
==Overview==
In obese patient CT may aid in the diagnosis.
Abdominal CT scan may be helpful in the diagnosis of femoral hernia. Findings on CT scan suggestive of femoral hernia include bowel dilation, mesangial thickening and bowel strangulation. Due to the radiation exposure and high cost it is not used a s first line diagnostic tool. In emergent cases that are difficult to diagnose, abdominal CT scan can be used as a first line diagnostic tool.


==CT==
==CT scan==
*Abdominal CT scan may be helpful in the diagnosis of femoral hernia. Findings on CT scan suggestive of femoral hernia include:<ref name="pmid25489584">{{cite journal |vauthors=Yang XF, Liu JL |title=Acute incarcerated external abdominal hernia |journal=Ann Transl Med |volume=2 |issue=11 |pages=110 |year=2014 |pmid=25489584 |pmc=4245506 |doi=10.3978/j.issn.2305-5839.2014.11.05 |url=}}</ref><ref name="pmid21415178">{{cite journal |vauthors=Burkhardt JH, Arshanskiy Y, Munson JL, Scholz FJ |title=Diagnosis of inguinal region hernias with axial CT: the lateral crescent sign and other key findings |journal=Radiographics |volume=31 |issue=2 |pages=E1–12 |year=2011 |pmid=21415178 |doi=10.1148/rg.312105129 |url=}}</ref>
**Bowel dilation at abdominal wall defect
**Mesangial thickening at abdominal wall defect
**Bowel strangulation
**The neck of the femoral hernia sac is seen as a narrow protrusion through the femoral ring medial to the femoral vein
**Femoral vein can be seen compressed by the femoral hernia sac
**Funnel shaped neck of the hernia sac
*Following oral iodinated contrast the contents of the hernia sac can be better visualized as being intestinal<ref name="pmid25489584">{{cite journal |vauthors=Yang XF, Liu JL |title=Acute incarcerated external abdominal hernia |journal=Ann Transl Med |volume=2 |issue=11 |pages=110 |year=2014 |pmid=25489584 |pmc=4245506 |doi=10.3978/j.issn.2305-5839.2014.11.05 |url=}}</ref>


==References==
==References==
{{reflist|2}}
{{Reflist|2}}


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Revision as of 16:11, 5 February 2018

Template:Femoral Hernia Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: M. Khurram Afzal, MD [2]

Overview

Abdominal CT scan may be helpful in the diagnosis of femoral hernia. Findings on CT scan suggestive of femoral hernia include bowel dilation, mesangial thickening and bowel strangulation. Due to the radiation exposure and high cost it is not used a s first line diagnostic tool. In emergent cases that are difficult to diagnose, abdominal CT scan can be used as a first line diagnostic tool.

CT scan

  • Abdominal CT scan may be helpful in the diagnosis of femoral hernia. Findings on CT scan suggestive of femoral hernia include:[1][2]
    • Bowel dilation at abdominal wall defect
    • Mesangial thickening at abdominal wall defect
    • Bowel strangulation
    • The neck of the femoral hernia sac is seen as a narrow protrusion through the femoral ring medial to the femoral vein
    • Femoral vein can be seen compressed by the femoral hernia sac
    • Funnel shaped neck of the hernia sac
  • Following oral iodinated contrast the contents of the hernia sac can be better visualized as being intestinal[1]

References

  1. 1.0 1.1 Yang XF, Liu JL (2014). "Acute incarcerated external abdominal hernia". Ann Transl Med. 2 (11): 110. doi:10.3978/j.issn.2305-5839.2014.11.05. PMC 4245506. PMID 25489584.
  2. Burkhardt JH, Arshanskiy Y, Munson JL, Scholz FJ (2011). "Diagnosis of inguinal region hernias with axial CT: the lateral crescent sign and other key findings". Radiographics. 31 (2): E1–12. doi:10.1148/rg.312105129. PMID 21415178.

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