Review of inguinal region hernias on MDCT: A vascular ... | Inguinal hernia: CT

The cross-sectional imaging of inguinal hernias poses a challenge to inexperienced observers due to the complex anatomy of the region.AboutUsFAQAdvertiseContactLatestArticles LogInMyAccount(logout)JournalIssuesSubscribeAddressChangeAuthorGuidelinesAdvertiseArticlesNewseNewsUpdatesVideosARConnectCOVID-19RSNA2020RSNA2019RSNA2018RSNA2017RSNA2016RSNA2015ASTRO2018ArtificialIntelligenceSeriesWebinarsUpcomingWebinarsOnDemandWebinarsCommunitiesArtificialIntelligenceBreastImagingCTImagingMRImagingPediatricImagingVascular&InterventionalCasesClinicalCasesCaseReviewsQuizzesCME/CEResourcesEmailAlertManagerNewSubscriptionRenewSubscriptionChangeAddressAuthorGuidelinesAdvertiseAboutUsContactUsARConnectRSNA2020COVID19BraccoGuerbetPhilipsTelixClinicalDepartmentsReviewofinguinalregionherniasonMDCT:AvascularroadmapReviewofinguinalregionherniasonMDCT:AvascularroadmapBy NishardAbdeen,MD,andWaelM.Shabana,MD,PhDImageGalleryDr.AbdeenisaRadiologistatChildren’sHospitalofEasternOntario,Ottawa,Ontario,Canada,andDr.ShabanaisaRadiologistintheDepartmentofDiagnosticImagingattheUniversityofOttawa,Ottawa,Canada.Thecross-sectionalimagingofinguinalherniasposesachallengetoinexperiencedobserversduetothecomplexanatomyoftheregion.Aherniaoccursasbulgingofvisceralcontentthroughaweakpointintheabdominalwall.Theseweakpointscouldbenatural,anatomic,congenital,oriatrogenic—suchasanincisionalhernia.Inguinalandfemoralherniasarecommon,withalifetimeprevalenceof5%ormoreinthegeneralpopulation.Inguinalherniasconstituteapproximately75%ofallhernias,ofwhichtwo-thirdsareindirectandone-thirdaredirect.Femoralherniascomprise3%ofherniaswitha10:1femaletomaleratio.1Althoughbothtypesmayincarcerateandstrangulate,theriskishigherforfemoral(20%-25%)thanforinguinalhernias(3%).Accurateradiologicdiagnosisisthereforeimportant.Sonographycaneffectivelydifferentiatebetweenvariousgroinhernias.2Whilefreeofionizingradiation,itsuseisoperatordependent.Computedtomography(CT)isoftenthefirstlinemodalityasmanyherniasmaypresentasbowelobstructionorwithn


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