CT diagnosis of occult incisional hernias.

CT of the abdomen was performed on 14 adult patients 2-25 months after laparotomy in order to evaluate intraabdominal processes. Clinically unsuspected incisional hernias were detected in all cases. These herniations were not disclosed by previous physical examination because of the patients' obesity, abdominal pain, distension, or various other factors. However, CT scans showed the exact size, location, and content of each incisional hernia. The evaluation of postsurgical abdomen by CT should include a careful assessment of previous laparotomy sites in search of occult incisional hernias that may be the source of the patient's abdominal symptoms.

[1]  D. M. Douglas,et al.  The healing of aponeurotic incisions , 1944, The British journal of surgery.

[2]  L. Spangen.  Ultrasound as a diagnostic aid in ventral abdominal hernia , 1975, Journal of clinical ultrasound : JCU.

[3]  Deitch Ea,et al.  Ultrasonic diagnosis of surgical diseases of the anterior abdominal wall. , 1980 .

[4]  P. A. Brodey,et al.  Computed Tomography of the Anterior Abdominal Wall: Normal Anatomy and Pathology , 1981, Journal of computer assisted tomography.

[5]  H. Ellis,et al.  Burst abdomen and incisional hernia: a prospective study of 1129 major laparotomies. , 1982, British medical journal.

[6]  H. Ellis,et al.  Incisional hernias: When do they occur? , 1983 .

[7]  Herniography in anterior abdominal wall hernia. , 1985, RoFo : Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin.

[8]  D. Karavias,et al.  Computed tomography of left paraduodenal hernia. , 1986, Journal of computer assisted tomography.

[9]  Kane Vg,et al.  CT demonstration of hernia through an iliac crest defect , 1986 .