The Role of High Resolution Sonography in the Evaluation of Anterior Abdominal Wall Lesions

Evaluation of Anterior Abdominal Wall Lesions

  • C. Arpita Associate Professor, Department of Radiology, Viswabharathi Medical College, Kurnool, Andhra Pradesh, India
  • C Ananda Reddy Professor & Head, Department of Surgery, Viswabharathi Medical College, Kurnool, Andhra Pradesh, India
Keywords: High Resolution, Ultrasonography, Anterior Abdominal Wall, Incisional Hernia, Ventral Hernia, Desmoid Tumor

Abstract

Background: Clinical presentation of anterior abdominal wall pathologies are non-specific. Based on physical examination alone, it is often difficult to diagnose the specific anterior abdominal wall pathologies. The aims of the study were, to evaluate accuracy of the high-resolution sonography in the diagnosis of anterior abdominal wall pathologies.Subjects and Methods:All patients referred to the Department of Radiodiagnosis with the clinical manifestations of various anterior abdominal lesion in a period of 2 years, were subjected for the study. 50 cases were taken up for the study. All patients included in the study underwent anterior abdominal wall ultrasonography using 7.0-12.0 MHZ high frequency linear array transducer coupled with color doppler equipment. This was followed by pelvic scan using 3.5-5.0 MHZ transducer whenever required. Findings during surgery and histopathology reports were noted and compared with the sonographic features.Results:Our study showed high prevalence of anterior abdominal lesions in patients between the age group of 20-40 years which constituted 60% of all cases. Most common presentation was seen in females (66%). Incisional hernia was the predominant anterior abdominal wall lesion constituting 44%, followed by ventral hernias14% lipomas and hematomas both were seen in 8% of cases. Least common was anterior abdominal wall sarcoma seen in 2% cases. Higher resolution sonography is an accurate method for assessment of anterior abdominal wall lesions. Sensitivity of 100%, specificity of 75%, PPV of 97.4%, NPV of 100%. In total diagnostic accuracy of high-resolution sonography was 97.6% in our study.Conclusion: High resolution sonography is an accurate diagnostic imaging modality in anterior abdominal wall lesions. It is also highly sensitive in differentiating hernias from cystic or solid abdominal wall lesions.

Published
2019-12-30
How to Cite
C. Arpita, & C Ananda Reddy. (2019). The Role of High Resolution Sonography in the Evaluation of Anterior Abdominal Wall Lesions. Asian Journal of Medical Research, 8(4), RD01-RD04. Retrieved from http://aijournals.com/index.php/ajmr/article/view/1225