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Inguinal hernia CT

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Farima Kahe M.D. [2]

Overview

CT scan may be helpful in the diagnosis of inguinal hernia. Findings on CT scan suggestive of inguinal hernia include defect in the abdominal wall muscles, appearance of bowel loops within the lesion, lateral crescent sign.

CT scan

  • Pelvic CT scan may be helpful in the diagnosis of inguinal hernia. Findings on CT scan suggestive of inguinal hernia include:[1][2]
    • Defect in the abdominal wall muscles
    • Appearance of bowel loops within the lesion
    • Lateral crescent sign
    • The hernia neck will be superolateral to the course of the inferior epigastric vessels.
CT scan showing inguinal hernia source:Case courtesy of A.Prof Frank Gaillard, Radiopaedia.org, rID: 2623
CT scan showing inguinal hernia source:Case courtesy of A.Prof Frank Gaillard, Radiopaedia.org, rID: 2623


References

  1. Burkhardt, Joan Hu; Arshanskiy, Yevgeniy; Munson, J. Lawrence; Scholz, Francis J. (2011). “Diagnosis of Inguinal Region Hernias with Axial CT: The Lateral Crescent Sign and Other Key Findings”. RadioGraphics. 31 (2): E1–E12. doi:10.1148/rg.312105129. ISSN 0271-5333.
  2. Robinson A, Light D, Kasim A, Nice C (2013). “A systematic review and meta-analysis of the role of radiology in the diagnosis of occult inguinal hernia”. Surg Endosc. 27 (1): 11–8. doi:10.1007/s00464-012-2412-3. PMID 22733195.

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