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Internal abdominal hernia: diagnosis with ultrasonography
R H Wachsberg1, T G Helinek, D A Merton
1Department of Radiology, Thomas Jefferson University Hospital, Philadelphia, Pa.
Summary
Ultrasonography can identify left paraduodenal hernia, a type of internal abdominal hernia. Look for changing internal components and a surrounding membrane when investigating abdominal masses.
Area of Science:
- Radiology
- Gastroenterology
- Surgical Imaging
Background:
- Internal abdominal hernias are rare but critical diagnoses.
- Previous imaging modalities for internal hernias include radiography, barium studies, arteriography, and computed tomography.
- Left paraduodenal hernia is a specific type of internal hernia.
Observation:
- This study presents a case diagnosed using ultrasonography.
- The patient presented with an abdominal mass.
- Specific ultrasonographic features were noted.
Findings:
- Ultrasonography revealed findings consistent with left paraduodenal hernia.
- Key ultrasonographic indicators included changing cystic or tubular internal components.
- A surrounding membrane was also a significant finding.
Implications:
- Ultrasonography offers a valuable tool for diagnosing internal abdominal hernias.
- Recognizing these specific ultrasonographic findings can aid in early diagnosis.
- This case highlights the importance of considering internal hernia in abdominal mass investigations.