Dynamic ultrasound with postural change facilitated the detection of an incisional hernia in a case with negative MRI findings.
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.
Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Patcharaporn
P
Wongsithichai
Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Bei-Hu Branch, National Taiwan University College of Medicine, Taipei, Taiwan.
Ke-Vin
KV
Chang
Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital Chu-Tung Branch, Hsinchu, Taiwan.
Chen-Yu
CY
Hung
Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan.
Tyng-Guey
TG
Wang
CT; Incisional hernia; Laparoscopy; MRI; Ultrasound