Incisional hernia

Case contributed by A.Prof Frank Gaillard

Presentation

Previous hysterectomy. Now abdominal mass.

Patient Data

Age: 45 years
Gender: Female
CT

There is a wide necked right lower quadrant incisional hernia containing multiple distal small bowel loops. The neck measures 3.5 cm in width and 3.9 cm in craniocaudal length. There is no evidence of a proximal small bowel obstruction. Mild stranding of the mesentery noted at the neck of the hernia.

Additionally, the small bowel mesentery is somewhat hazy and plump, and contains a number of soft tissue nodules are largest which measures 25 x 10 x 9 millimetres. These nodules is surrounded by a halo of non stranded fat.

The liver, spleen, adrenals, kidneys and pancreas appear unremarkable. No ascites. No enlarged lymph nodes identified in the abdomen. Cholecystectomy clips.

Case Discussion

Large incisional hernia through previous hysterectomy scar, and probably mesenteric panniculitis. 

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Case information

rID: 18064
Case created: 4th Jun 2012
Last edited: 26th Nov 2016
Inclusion in quiz mode: Included

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