Underdiagnosis of umbilical hernias in CT scans in a multicenter study - the radiologically neglected pathology and its surgical implications.

Autor: Alvarez-Lozada LA; Clinical-Surgical Research Group (GICQx), Human Anatomy Research Group (GIA), Human Anatomy Department, School of Medicine, Universidad Autonoma de Nuevo Leon, Francisco I. Madero y Aguirre Pequeño sin número, Colonia Mitras Centro, Monterrey, Monterrey, Nuevo León, C.P. 64460, México., Arrambide-Garza FJ; Clinical-Surgical Research Group (GICQx), Human Anatomy Research Group (GIA), Human Anatomy Department, School of Medicine, Universidad Autonoma de Nuevo Leon, Francisco I. Madero y Aguirre Pequeño sin número, Colonia Mitras Centro, Monterrey, Monterrey, Nuevo León, C.P. 64460, México., Quiroga-Garza A; Clinical-Surgical Research Group (GICQx), Human Anatomy Research Group (GIA), Human Anatomy Department, School of Medicine, Universidad Autonoma de Nuevo Leon, Francisco I. Madero y Aguirre Pequeño sin número, Colonia Mitras Centro, Monterrey, Monterrey, Nuevo León, C.P. 64460, México. dr.aquirogag@gmail.com.; Servicio de Cirugía General, Hospital de Traumatología y Ortopedia No.21, Instituto Mexicano del Seguro Social, Monterrey, Nuevo Leon, Mexico. dr.aquirogag@gmail.com., Huerta-Sanchez MC; Department of Radiology, School of Medicine, Universidad Autonoma de Nuevo Leon, University Hospital 'Dr. Jose Eleuterio Gonzalez', Monterrey, Mexico., Escobar-Luna A; Department of Radiology, Instituto Tecnológico y de Estudios Superiores de Monterrey, Hospital San José Tec Salud, Monterrey, Mexico., Sada-Treviño MA; Department of Radiology, Doctors Hospital Auna, Monterrey, Mexico., Ramos-Proaño CE; Department of Radiology, Instituto Tecnológico y de Estudios Superiores de Monterrey, Hospital San José Tec Salud, Monterrey, Mexico., Elizondo-Omaña RE; Clinical-Surgical Research Group (GICQx), Human Anatomy Research Group (GIA), Human Anatomy Department, School of Medicine, Universidad Autonoma de Nuevo Leon, Francisco I. Madero y Aguirre Pequeño sin número, Colonia Mitras Centro, Monterrey, Monterrey, Nuevo León, C.P. 64460, México. rod_omana@yahoo.com.
Jazyk: angličtina
Zdroj: Hernia : the journal of hernias and abdominal wall surgery [Hernia] 2024 Oct; Vol. 28 (5), pp. 1775-1781. Date of Electronic Publication: 2024 Jun 05.
DOI: 10.1007/s10029-024-03079-9
Abstrakt: Purpose: Umbilical hernias (UH) have a higher prevalence than previously considered. With the high workload radiologists must endure, UH can be missed when interpreting a computed tomography scan (CT). The clinical implications of its misdiagnosis are yet to be determined. Unreporting could lead to content lesions in surgical approaches and other potential complications. The aim was to determine the prevalence of UH using CT scans, and the incidence of radiological reporting.
Methods: A multicenter, cross-sectional study was performed in four tertiary-level hospitals. CT scans were reviewed for abdominal wall defects at the umbilicus, and radiological reports were examined to compare findings. In the case of UH, transversal, anteroposterior, and craniocaudal lengths were obtained.
Results: A total of 1557 CTs were included, from which 971 (62.4%, 95% CI 0.59-0.64) had UH. Out of those, 629 (64.8%, 95% CI 0.61-0.67) of the defects were not included in the radiological report. Smaller UH (x̄: 7.7 × 6.0 mm) were more frequently missed. Of the reported UH, 187 (54.7%) included at least one axis measurement, 289 (84.5%) content description, and 146 (42.7%) whether or not there were complication signs.
Conclusion: There is a high prevalence of UH, and a high incidence of under-reporting. This raises the question of whether this is a population-based finding or the norm worldwide. The reason of under-reporting and the clinical implications of these must be addressed in further studies.
(© 2024. The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature.)
Databáze: MEDLINE
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