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

• Main Authors: Patcharaporn Wongsithichai, Ke Vin Chang, Chen Yu Hung, Tyng Guey Wang
• Other Authors: Mahidol University
• Format: Article
• Published: 2018
• Subjects: Medicine
• Online Access: https://repository.li.mahidol.ac.th/handle/123456789/36330

© 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.