Dynamic ultrasound with postural change facilitated the detection of an incisional hernia in a case with negative MRI findings

© 2014, Società Italiana di Ultrasonologia in Medicina e Biologia (SIUMB). Incisional hernias commonly develop after abdominal surgeries with a lower incidence in patients receiving laparoscopy. Diagnosis through a non-surgical approach is usually made by computed tomography or magnetic resonance im...

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Bibliographic Details
Main Authors: Patcharaporn Wongsithichai, Ke Vin Chang, Chen Yu Hung, Tyng Guey Wang
Other Authors: Mahidol University
Format: Article
Published: 2018
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Online Access:https://repository.li.mahidol.ac.th/handle/123456789/36330
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Institution: Mahidol University
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Summary:© 2014, Società Italiana di Ultrasonologia in Medicina e Biologia (SIUMB). Incisional hernias commonly develop after abdominal surgeries with a lower incidence in patients receiving laparoscopy. Diagnosis through a non-surgical approach is usually made by computed tomography or magnetic resonance images (MRI) but both image modalities require patients to be examined in a supine position. We reported a case noticing a mass over her right lower abdomen after a laparoscopic liver segmentectomy with negative findings of hernia on MRI. A hernia sac was found by ultrasound with the patient being standing, highlighting the utility of dynamic ultrasound with postural change in investigation of incisional hernias.