CT herniography in the diagnosis of occult groin hernias
| Autor: | V. Markos, E.F. Brown |
|---|---|
| Rok vydání: | 2004 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Pain Physical examination Hernia Inguinal Abdominal wall Recurrence medicine Humans Radiology Nuclear Medicine and imaging Hernia Aged Retrospective Studies Aged 80 and over medicine.diagnostic_test Groin business.industry Retrospective cohort study General Medicine Middle Aged Hernia repair medicine.disease Occult digestive system diseases Surgery Inguinal hernia surgical procedures operative medicine.anatomical_structure Female Radiology business Tomography X-Ray Computed |
| Zdroj: | Clinical radiology. 60(2) |
| ISSN: | 0009-9260 |
| Popis: | AIM: To evaluate the role of computed tomography (CT) after herniography in the diagnosis and management of primary and recurrent groin hernias not detectable on clinical examination. MATERIAL AND METHODS: Fifty-one patients underwent CT post-herniography over a 6-year period for suspected primary or recurrent inguinal hernia. The herniography and post-herniography CT findings were retrospectively compared with clinical and surgical follow-up. Statistical analysis was performed to assess the role of herniography and CT post-herniography in the primary and recurrent groups. RESULTS: Of the 51 patients investigated for occult inguinal hernia, 19 had previous hernia repair with possible recurrence. The most common symptom at presentation was groin pain or discomfort (84%). Seventy-five percent in the primary group and 84% in the recurrent group had no findings on herniography or CT. Nine percent in the primary group and 16% in the recurrent group had hernias diagnosed by herniography. CT did not enhance the detection of hernia. Sensitivity for herniography and CT herniography in the primary groin hernia group was 75% as against specificity, which was 100 and 90%, respectively. For the recurrent groin hernias, sensitivity was 60% for herniography and 40% for CT herniography and specificity 100% for both. CONCLUSION: CT performed post-herniography did not provide any benefit over performing herniography alone in the diagnosis of occult primary or recurrent inguinal hernias. |
| Databáze: | OpenAIRE |
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