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Abdominal Wall Hernia
Ryan K. L. Lee, MBChB, FRCR, FHKAM (Radiology); James F. Griffith, MD, MRCP, FRCR
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KEY FACTS

  • Clinical Issues

    • Diagnostic Checklist

      TERMINOLOGY

      • Definitions

        • Hernia: Abnormal protrusion of an organ or part of an organ out of the cavity in which it is normally contained
          • Reducible: Hernia that can disappear either spontaneously or with external pressure
          • Obstructed: Hernia leading to mechanical bowel obstruction
          • Strangulated: Hernia causing mechanical constriction of vascular supply to contents of hernia
          • Incarcerated: Hernia that cannot be reduced
        • Classification: Ventral hernia, incisional hernia, fatty hernia of linea alba, epigastric hernia, umbilical hernia, hypogastric hernia, spigelian hernia, lumbar hernia

      IMAGING

      • General Features

        • CT Findings

          • Ultrasonographic Findings

            • Imaging Recommendations

              DIFFERENTIAL DIAGNOSIS

                PATHOLOGY

                • General Features

                  CLINICAL ISSUES

                  • Presentation

                    • Demographics

                      • Natural History & Prognosis

                        • Treatment

                          DIAGNOSTIC CHECKLIST

                          • Consider

                            • Image Interpretation Pearls

                              Selected References

                              1. Arend CF: Static and dynamic sonography for diagnosis of abdominal wall hernias. J Ultrasound Med. 32(7):1251-9, 2013
                              2. Lee RK et al: Ultrasound of the abdominal wall and groin. Can Assoc Radiol J. 64(4):295-305, 2013
                              Related Anatomy
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                              Related Differential Diagnoses
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                              References
                              Tables

                              Tables

                              KEY FACTS

                              • Clinical Issues

                                • Diagnostic Checklist

                                  TERMINOLOGY

                                  • Definitions

                                    • Hernia: Abnormal protrusion of an organ or part of an organ out of the cavity in which it is normally contained
                                      • Reducible: Hernia that can disappear either spontaneously or with external pressure
                                      • Obstructed: Hernia leading to mechanical bowel obstruction
                                      • Strangulated: Hernia causing mechanical constriction of vascular supply to contents of hernia
                                      • Incarcerated: Hernia that cannot be reduced
                                    • Classification: Ventral hernia, incisional hernia, fatty hernia of linea alba, epigastric hernia, umbilical hernia, hypogastric hernia, spigelian hernia, lumbar hernia

                                  IMAGING

                                  • General Features

                                    • CT Findings

                                      • Ultrasonographic Findings

                                        • Imaging Recommendations

                                          DIFFERENTIAL DIAGNOSIS

                                            PATHOLOGY

                                            • General Features

                                              CLINICAL ISSUES

                                              • Presentation

                                                • Demographics

                                                  • Natural History & Prognosis

                                                    • Treatment

                                                      DIAGNOSTIC CHECKLIST

                                                      • Consider

                                                        • Image Interpretation Pearls

                                                          Selected References

                                                          1. Arend CF: Static and dynamic sonography for diagnosis of abdominal wall hernias. J Ultrasound Med. 32(7):1251-9, 2013
                                                          2. Lee RK et al: Ultrasound of the abdominal wall and groin. Can Assoc Radiol J. 64(4):295-305, 2013