Diagnosis of Inguinal Region Hernias with Axial CT | Inguinal hernia: CT
On axial CT images, the neck of the hernia arises lateral and superior to the course of the inferior epigastric vessels. Thus, the hernia neck ...HomeRadioGraphicsVol.31,No.2NextGastrointestinalImagingFreeAccessDiagnosisofInguinalRegionHerniaswithAxialCT:TheLateralCrescentSignandOtherKeyFindingsJoanHuBurkhardt, YevgeniyArshanskiy, J.LawrenceMunson, FrancisJ.ScholzJoanHuBurkhardt,YevgeniyArshanskiy,J.LawrenceMunson,FrancisJ.ScholzAuthorAffiliationsAddresscorrespondencetoJ.H.B.(e-mail:[email protected]).JoanHuBurkhardtYevgeniyArshanskiyJ.LawrenceMunsonFrancisJ.ScholzPublishedOnline:Mar72011https://doi.org/10.1148/rg.312105129MoreSectionsPDFToolsImageViewerAddtofavoritesCiteTrackCitationsPermissionsReprintsShareShareonFacebookTwitterLinkedInEmailAbstractDifferentiationofdirectinguinalhernias,indirectinguinalhernias,andfemoralherniasisoftendifficultatclinicalexaminationandpre-sentschallengesevenatdiagnosticimaging.Withtheadventofhigher-resolutionmultidetectorcomputedtomography(CT),theminuteanatomicdetailoftheinguinalregioncanbebetterdelineated.TheauthorsexaminetheappearanceoftheseherniasataxialCT,astheaxialplaneremainsthediagnosticmainstayofevaluationofacuteabdomen.Theyreviewandlabelkeyanatomicstructures,presentcasesofdirectandindirectinguinalherniasandfemoralhernias,anddemonstratetheiranatomicdifferencesonaxialimages.Directinguinalherniasprotrudeanteromedialandinferiortothecourseoftheinferiorepigastricvessels,whereasindirectinguinalherniasprotrudeposterolateralandsuperiortothecourseofthosevessels.Theproposedlateralcrescentsignmaybeusefulindiagnosisofearlydirectinguinalhernias,asitrepresentslateralcompressionandstretchingoftheinguinalcanalfatandcontentsbytheherniasac.Femoralherniasprotrudeinferiortothecourseoftheinferiorepigastricvesselsandmedialtothecommonfemoralvein,oftenhaveanarrowfunnel-shapedneck,andmaycompressthefemoralvein,causingengorgementofdistalcollateralveins.FamiliaritywiththeseanatomicdifferencesataxialCT,alongwiththelateralcrescentsignofdirectinguinalhern
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Inguinal herniaInguinal hernia typeInguinal hernia echoinguinal hernia: ct scan with contrastInguinal hernia strangulation ctIndirect inguinal hernia CTFemoral hernia: CTCt diagnosis of inguinal hernia