open access

Vol 7, No 2 (2005)
Published online: 2005-09-06
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Diagnostic pitfalls of ventral hernias

Wojciech Szczęsny, Piotr Cisowski, Stanisław Dąbrowiecki
Chirurgia Polska 2005;7(2):113-119.

open access

Vol 7, No 2 (2005)
Published online: 2005-09-06

Abstract

Background: Despite of relative high frequency of occurring (circa 10% laparotomies) and rather simply diagnostic, ventral hernias could be difficult to recognize. Some diseases mimic hernia and hernia itself in obese patients could be omitted. The paper presents experiences based on single-centre material.
Material and methods: From January 2001 to May 2004, 284 abdominal hernia repairs were performed at the Dept. of General and Endocrine Surgery of the University Hospital in Bydgoszcz. 187 of the above number were large hernias.
Results: In 7 patients the initial diagnosis of abdominal wall hernia was not confirmed intraoperatively. In those cases, the abdominal wall tumors were caused by: malignant infiltration, subcutaneous lipoma, haematoma in the right rectus muscle sheath, inguinal hernia, a giant seroma and free fragment of fractured rib. Diagnosis was stated on the base of the anamnesis and physical examination which was supported in two cases with ultrasonography of abdomen. Despite of this we were not be able to avoid misdiagnosis.
Conclusions: On the base of own experience and current literature the authors stated that the diagnosis of an abdominal hernia, if not certain, especially in obese patients, should be confirmed by modern imaging modalities (US, CT, MRI).

Abstract

Background: Despite of relative high frequency of occurring (circa 10% laparotomies) and rather simply diagnostic, ventral hernias could be difficult to recognize. Some diseases mimic hernia and hernia itself in obese patients could be omitted. The paper presents experiences based on single-centre material.
Material and methods: From January 2001 to May 2004, 284 abdominal hernia repairs were performed at the Dept. of General and Endocrine Surgery of the University Hospital in Bydgoszcz. 187 of the above number were large hernias.
Results: In 7 patients the initial diagnosis of abdominal wall hernia was not confirmed intraoperatively. In those cases, the abdominal wall tumors were caused by: malignant infiltration, subcutaneous lipoma, haematoma in the right rectus muscle sheath, inguinal hernia, a giant seroma and free fragment of fractured rib. Diagnosis was stated on the base of the anamnesis and physical examination which was supported in two cases with ultrasonography of abdomen. Despite of this we were not be able to avoid misdiagnosis.
Conclusions: On the base of own experience and current literature the authors stated that the diagnosis of an abdominal hernia, if not certain, especially in obese patients, should be confirmed by modern imaging modalities (US, CT, MRI).
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Keywords

ventral hernia; diagnosis errors; imaging modalities

About this article
Title

Diagnostic pitfalls of ventral hernias

Journal

Chirurgia Polska (Polish Surgery)

Issue

Vol 7, No 2 (2005)

Pages

113-119

Published online

2005-09-06

Bibliographic record

Chirurgia Polska 2005;7(2):113-119.

Keywords

ventral hernia
diagnosis errors
imaging modalities

Authors

Wojciech Szczęsny
Piotr Cisowski
Stanisław Dąbrowiecki

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