True-FISP MRI in diagnosis of postoperative hernia recurrence: a brief report
| Autor: | W. Torreggiani, E. Mansour, U. Salati |
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| Rok vydání: | 2013 |
| Předmět: |
Male
medicine.medical_specialty Hernia Inguinal Young Adult Hematoma Recurrence medicine Humans Hernia Direct Inguinal Hernia Herniorrhaphy medicine.diagnostic_test Groin business.industry Magnetic resonance imaging Surgical Mesh medicine.disease Magnetic Resonance Imaging Inguinal canal Surgery Surgical mesh medicine.anatomical_structure Laparoscopy Radiology Differential diagnosis business |
| Zdroj: | Hernia. 18:597-600 |
| ISSN: | 1248-9204 1265-4906 |
| DOI: | 10.1007/s10029-012-1038-7 |
| Popis: | A 24-year-old man underwent laparoscopic mesh repair of a right direct inguinal hernia which had recurred after previous surgery 3 months previously. A large swelling was noted in the right groin 4 h postoperatively, which was reduced initially but recurred within 24 h. A differential diagnosis of postoperative recurrence versus hematoma was considered, and patient was referred for imaging.The patient was imaged using different modalities including B-mode ultrasonography, computed tomography (CT) of the pelvis, and True-FISP magnetic resonance imaging (true imaging with steady-state precession MRI).Initial focused ultrasound (US) [corrected] was suggestive of but equivocal for recurrence. Subsequent non-contrast CT of the region followed by rapid sequence (true-FISP) MRI confirmed the presence of bowel in the inguinal canal.Imaging has a role in the diagnosis of postoperative hernia recurrence in cases where there is a clinical diagnostic dilemma, especially MRI using true-FISP sequence, which is acquired in seconds, is a non-ionising radiation modality and does not have inter operator variability. |
| Databáze: | OpenAIRE |
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