scholarly journals Lumps and Bumps of the Abdominal Wall and Lumbar Region—Part 2: Beyond Hernias

2018 ◽  
Vol 01 (01) ◽  
pp. 019-032
Author(s):  
Sangoh Lee ◽  
Catalin V. Ivan ◽  
Sarah R. Hudson ◽  
Tahir Hussain ◽  
Suchi Gaba ◽  
...  

AbstractAbdominal masses can often clinically mimic hernias, especially when they are located close to hernial orifices. Imaging findings can be challenging and nonspecific with numerous differential diagnoses. We present a variety of pathology involving the abdominal wall and lumbar region, which were referred as possible hernias. This demonstrates the wide-ranging pathology that can present as abdominal wall lesions or mimics of hernias that the radiologist should be alert to.

1998 ◽  
Vol 5 (2) ◽  
pp. 45-56
Author(s):  
YONG-SOO KIM ◽  
HYUN-CHUL RHIM ◽  
YONG-JOO LEE ◽  
BYUNG-HEE KOH ◽  
ON-KOO CHO ◽  
...  
Keyword(s):  

2019 ◽  
Vol 6 (2) ◽  
pp. 636
Author(s):  
Anand Ignatius Peter ◽  
Souvik Patra ◽  
Samreen Jaffar

A diagnosis of hepatic actinomycosis is challenging and often overlooked because of its indiscernible nature and slow rate of progression. This is further complicated with absence of any specific clinical and radiologic manifestations. In this case, a 49 years old male, farmer, with no co-morbidities or significant past medical or surgical history, reported to the department of surgery, with complains of non-healing ulcer over right upper abdomen since five months. Examination of the ulcer led to a clinical suspicion of a malignant lesion. Sonogram of abdomen and pelvic region, which revealed heterogenous lesion with central necrosis in the right lumbar region of the abdominal wall with extension into the skin surface, a heterogenous lesion noted on the liver, and right pleural effusion with the suggestion to consider the possibility of primary skin/abdominal wall tumor with hepatic metastasis with right pleural effusion. Further investigation was performed using contrast enhanced CT scan which also favoured the diagnosis of a malignancy. However, biopsy of the skin lesion was negative for malignancy and it confirmed the diagnosis of Actinomycosis. This diagnosis was further confirmed with an ultrasound guided biopsy of the liver lesion. The patient was then started on appropriate treatment for the same and he recovered well.


2019 ◽  
Vol 160 (35) ◽  
pp. 1395-1402
Author(s):  
Csenge Csorba ◽  
Norbert Pásztor ◽  
Emese Szalma ◽  
Gabriella Kovács ◽  
András Palkó ◽  
...  

Abstract: The incidence of endometriosis, including atypical forms of the disease, has been continuously growing, thus increasingly challenging for the imaging specialists as well. We conducted a retrospective study to analyze the results of ultrasound-guided interventions between 2016 and 2018. All interventions were performed in female patients due to uncertain abdominal wall lesions at the University of Szeged, Hungary. The abdominal wall lesions were incidentally detected, one by CT, the others by ultrasound examinations. We identified 12 cases during the study period. The average age of the patients was 59 years (29–79), 8 of them had abdominal surgery in their medical history. The mean diameter of the masses was 34.4 mm (20–49 mm). Since the indication of imaging examinations was the evaluation of a known or suspected malignancy, four patients had undergone an MRI prior to the biopsy. In addition, ultrasound-guided biopsy was not performed in another two patients, and the diagnosis was established by histological examination of the surgically removed specimens. The histological examination revealed malignant primary serous epithelial tumor in one case, metastases in six cases, endometriosis in six patients and abdominal wall abscess was found in one patient. Endometriosis was more frequent in the younger patients. The likelihood of endometriosis as a cause of abdominal wall lesions of younger, premenopausal female patients is rather high, especially with obstetrical or gynaecological operations in the medical history. Ultrasound plays a primary role in the detection and therapy planning of these lesions. Orv Hetil. 2019; 160(35): 1395–1403.


2013 ◽  
Vol 49 (5) ◽  
pp. 338-341 ◽  
Author(s):  
Danielle Paradise ◽  
David Clark

An 8 wk old male domestic longhair was presented with an abdominal mass and cryptorchidism. A 2 cm mass was palpable in the midabdomen. Ultrasonography confirmed a complex, septated, cystic mass adjacent and caudal to the right kidney. A normally appearing left kidney was present. Pathologic examination of the excised abdominal mass revealed it to be a kidney with an attached, normal caliber ureter. At surgery, this kidney was separate from the parenchyma of the second, cranial, right kidney. Subsequently, the second right kidney became hydronephrotic and was removed together with the cryptorchid testis and an apparently hypoplastic ureter. This is the first report of a supernumerary kidney in a cat, adding it to the differential diagnoses of abdominal masses.


2020 ◽  
Vol 23 (2) ◽  
pp. 139-149 ◽  
Author(s):  
Antonio Corvino ◽  
Saverio Pignata ◽  
Maria Raffaela Campanino ◽  
Fabio Corvino ◽  
Francesco Giurazza ◽  
...  

Author(s):  
C. Daniel Johnson

Cases are presented related to fluid and masses, hernias, and miscellaneous conditions of the peritoneum and mesentery. Each case contains a relevant image or images, imaging findings, a differential diagnosis, the actual diagnosis, and a discussion. Supplementary materials provided with each chapter include differential diagnoses, anatomical illustrations, and a question and answer section.


Author(s):  
C. Daniel Johnson

Cases are presented related to inflammatory diseases, masses and filling defects, and miscellaneous conditions of the bile ducts and gallbladder. Each case contains a relevant image or images, imaging findings, a differential diagnosis, the actual diagnosis, and a discussion. Supplementary materials provided with each chapter include differential diagnoses, anatomical illustrations, and a question and answer section.


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