Imaging Hernias of the Abdominal Wall

  • J. Andrew Hamlin

Abstract

The diagnosis of abdominal wall hernia is usually made on physical examination by the palpation of a peritoneal impulse on coughing or the detection of a reducible or changeable mass. When the diagnosis of hernia is certain and the symptoms and physical examination correlate, there is no need for an imaging study to confirm the hernia. Many patients, however, present with symptoms that are either nonspecific or are suggestive of hernia but are unaccompanied by physical signs indicating the presence of a hernia. These patients are referred for an imaging study.

Keywords

Inguinal Hernia Anterior Abdominal Wall Groin Pain Femoral Hernia Groin Hernia 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Case JT, Upson WO. Roentgenologic aspects of various types of hernia. JAMA. 1926; 87:891–898.CrossRefGoogle Scholar
  2. 2.
    Laurell H. Über die röntgenuntersuchung von brüchen, insbesondere klinisch schwer zu diagnostizierenden formen. Acta Radiol. 1929; 10: 462–498.CrossRefGoogle Scholar
  3. 3.
    Farr RE. Pneumoperitoneum as an aid in the diagnosis of hernia. JAMA. 1924; 82:1774–1775.CrossRefGoogle Scholar
  4. 4.
    Arner O, Fernström I. The value of pneumoperitoneum in the diagnosis of hernia in the inguinal region. Surgery. 1970; 67:741–747.PubMedGoogle Scholar
  5. 5.
    Bülow S. Artificial pneumoperitoneum during inguinal herniotomy in children. Acta Chir Scand. 1974; 140:127–130.PubMedGoogle Scholar
  6. 6.
    Kahn AM, Thompson JE. Pneumoperitoneum: an adjunct to herniorrhaphy. Contemp Surg. 1998;52:28–29.Google Scholar
  7. 7.
    Sternhill V, Schwartz S. Effect of hypaque on mouse peritoneum. Am J Roentgenol. 1960; 75:811–814.Google Scholar
  8. 8.
    Margulis R, Burhenne HJ, Rambo ON. Evaluation of celiography in rats. Radiology. 1964; 82:290–295.PubMedGoogle Scholar
  9. 9.
    Meyers MA. Peritoneography. Am J Roentgenol. 1973; 117:353–365.Google Scholar
  10. 10.
    Ducharme JC, Bertrand R, Chacar R. Is it possible to diagnose inguinal hernia by x-ray? A preliminary report on herniography. J Can Assoc Radiol. 1967; 18:448–451.PubMedGoogle Scholar
  11. 11.
    White JJ, Parks LC, Haller JA. The inguinal herniogram: a radiologic aid for accurate diagnosis of inguinal hernia in infants. Surgery. 1968; 63:991–997.PubMedGoogle Scholar
  12. 12.
    Swischuk LE, Stacy TM. Herniography: radiologic investigation of inguinal hernia. Radiology. 1971; 101:139–146.PubMedGoogle Scholar
  13. 13.
    Guttman FM, Bertrand R, Ducharme JC. Herniography and the pediatric contralateral inguinal hernia. Surg Gynecol Obstet. 1972; 135: 551–555.PubMedGoogle Scholar
  14. 14.
    Oh KS, Dorst JP, White JJ, et al. Positive-contrast peritoneography and herniography. Radiology. 1973; 108:647–654.PubMedGoogle Scholar
  15. 15.
    Jewett TC, Kuhn JP, Allen JE. Herniography in children. J Pediatr Surg. 1976; 11:451–454.PubMedCrossRefGoogle Scholar
  16. 16.
    Gullmo Å. Herniography: the diagnosis of hernia in the groin and incompetence of the pouch of Douglas and pelvic floor. Acta Radiol. 1980; 361(suppl):1–76.Google Scholar
  17. 17.
    Ekberg O. Inguinal herniography in adults: technique, normal anatomy, and diagnostic criteria for hernias. Radiology. 1981; 138:31–36.PubMedGoogle Scholar
  18. 18.
    Gullmo Å, Broomé A, Smedberg S. Herniography. Surg Clin North Am. 1984; 64:229–244.PubMedGoogle Scholar
  19. 19.
    Smedberg SGG, Broomé AEA, Gullmo Å, et al. Herniography in athletes with groin pain. Am J Surg. 1985; 149:378–382.PubMedCrossRefGoogle Scholar
  20. 20.
    Estes NC, Childs EW, Cox G, et al. Role of herniography in the diagnosis of occult hernias. Am J Surg. 1991; 162:608–610.PubMedCrossRefGoogle Scholar
  21. 21.
    van den Berg JC, Strijk SP. Groin hernia: role of herniography. Radiology. 1992; 184:191–194.PubMedGoogle Scholar
  22. 22.
    Hamlin JA, Kahn AM. Herniography: a review of 333 herniograms. Am Surg. 1998; 64:965–969.PubMedGoogle Scholar
  23. 23.
    Wechsler RJ, Kurtz AB, Needleman L, et al. Cross-sectional imaging of abdominal wall hernias. Am J Roentgenol. 1989; 153:517–521.Google Scholar
  24. 24.
    Lee GM, Cohen AJ. CT imaging of abdominal hernias. Am J Roentgenol. 1993; 161:1209–1213.Google Scholar
  25. 25.
    Hahn-Pedersen J, Lund L, Højhus JH, et al. Evaluation of direct and indirect inguinal hernia by computed tomography. Br J Surg. 1994; 81:569–572.PubMedCrossRefGoogle Scholar
  26. 26.
    Zarvan NP, Lee FT, Yandow DR, et al. Abdominal hernias: CT findings. AJR. 1995; 164:1391–1395.PubMedGoogle Scholar
  27. 27.
    Uno T, Mochida Y, Wada H, et al. Ultrasonic exploration of the contralateral side in pediatric patients with inguinal hernia. Surg Today. 1992; 22:318–321.PubMedCrossRefGoogle Scholar
  28. 28.
    Chou TY, Chu CC, Diau GY, et al. Inguinal hernia in children: US versus exploratory surgery and intraoperative contralateral laparoscopy. Radiology. 1996; 201:385–388.PubMedGoogle Scholar
  29. 29.
    Lawrenz K, Hollman AS, Carachi R, et al. Ultrasound assessment of the contralateral groin in infants with unilateral inguinal hernia. Clin Radiol. 1994; 49:546–548.PubMedCrossRefGoogle Scholar
  30. 30.
    Furtschegger A, Sandbichler P, Judmaier W, et al. Sonography in the postoperative evaluation of laparoscopic inguinal hernia repair. J Ultrasound Med. 1995; 14:679–684.PubMedGoogle Scholar
  31. 31.
    Mundan M, McEniff N, Mulvihill D. Sonographic investigation of female infants with inguinal masses. Clin Radiol. 1995; 50:696–698.CrossRefGoogle Scholar
  32. 32.
    Turpin S, Lambert R, Querin S. Another “rim sign”—a patent processus vaginalis demonstrated by peritoneal Tc-99m SC scintigraphy. Clin Nucl Med. 1995; 20:729–730.PubMedCrossRefGoogle Scholar
  33. 33.
    Ziegelbaum M, Kovach C, Siegel S. The use of 99mtechnetium in the diagnosis of patent processus vaginalis. J Urol. 1988; 139:599–600.PubMedGoogle Scholar
  34. 34.
    Sokoloff RM, Waxman AD. Tc-99m pertechnetate scrotal imaging of an inguinal hernia simulating testicular inflammation. Clin Nucl Med. 1995; 20:1021–1022.PubMedCrossRefGoogle Scholar
  35. 35.
    Tulchinsky M, Tulli MA, Eggli DF. Progressive accumulation of activity on scrotal scintigraphy in early incarcerated inguinal hernia. Clin Nucl Med. 1994; 19:1019–1020.PubMedCrossRefGoogle Scholar
  36. 36.
    Ekberg O, Blomquist P, Fritzdorf J. Herniography in patients with clinically suggested recurrence of inguinal hernia. Acta Radiol Diagn. 1984; 25:225–229.Google Scholar
  37. 37.
    Smedberg SGG, Broomé AEA, Elmér O, Gullmo Å. Herniography: a diagnostic tool in groin symptoms following hernial surgery. Acta Chir Scand. 1986; 152:273–277.PubMedGoogle Scholar
  38. 38.
    Hamlin JA, Kahn AM. Herniography in symptomatic patients following inguinal hernia repair. West J Med. 1995; 162:28–31.PubMedGoogle Scholar
  39. 39.
    Ekberg O, Kesek P, Bergenfelt M, et al. The value of herniography in elderly women with groin pain of obscure origin. Acta Chir Scand. 1989; 155:99–101.PubMedGoogle Scholar
  40. 40.
    Smedberg SGG, Broome AEA, Gullmo Å, et al. Herniography in athletes with groin pain. Am J Surg. 1985; 149:378–382.PubMedCrossRefGoogle Scholar
  41. 41.
    Ekberg O, Persson NH, Abrahamsson P-A, et al. Longstanding groin pain in athletes: a multidisciplinary approach. Sports Med. 1988; 6: 56–61.PubMedCrossRefGoogle Scholar
  42. 42.
    Clemente CD, ed.: Gray’s Anatomy, 13th American ed. Philadelphia: Lea & Febiger; 1984.Google Scholar
  43. 43.
    Ekberg O, Kesek P. Herniographic appearance of the lateral inguinal fossa. Acta Radiol. 1987; 28:563–569.PubMedCrossRefGoogle Scholar
  44. 44.
    Kahn AM, Hamlin JA, Thompson JE. The etiology of the adult indirect inguinal hernia: revisited. Am Surg. 1997; 63:967–969.PubMedGoogle Scholar
  45. 45.
    Hall C, Hall PN, Wingate JP, et al. Evaluation of herniography in the diagnosis of an occult abdominal wall hernia in symptomatic adults. Br J Surg. 1990; 77:902–909.PubMedCrossRefGoogle Scholar
  46. 46.
    Cohen RH, Turkenburg JL, van Dalen A. Herniography in 79 patients with unexplained pain in the groin: a retrospective study. Eur J Radiol. 1990; 11:184–187.PubMedCrossRefGoogle Scholar
  47. 47.
    Estes NC, Childs EW, Cox G, et al. Role of herniography in the diagnosis of occult hernias. Am J Surg. 1991; 162:608–610.PubMedCrossRefGoogle Scholar
  48. 48.
    Ekberg O. Complications after herniography in adults. Am J Roentgenol. 1983; 140:491–495.Google Scholar
  49. 49.
    Butsch JL, Kuhn JP. Intramural hematoma of the small bowel: a possible lethal complication of herniography. Surgery. 1978; 83:121–122.PubMedGoogle Scholar
  50. 50.
    Ducharme JC, Guttman FM, Poljicak M. Hematoma of bowel and cellulitis of the abdominal wall complicating herniography. J Pediatr Surg. 1980; 15:318–319.PubMedCrossRefGoogle Scholar
  51. 51.
    Ekberg O, Nilsson PE. Herniography: comparison of morbidity and image quality after use of high and low osmolality contrast material. Invest Radiol. 1986; 21:404–407.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2001

Authors and Affiliations

  • J. Andrew Hamlin
    • 1
  1. 1.Department of RadiologySt. John’s HospitalSanta MonicaUSA

Personalised recommendations