Diagnostic Ultrasound - Abdomen and Pelvis

Abdominal Wall Hernia
(Left) Transverse ultrasound of
a patient with cirrhosis and
ascites. There is a large
umbilical hernia containing
ascites st protruding through
a defect in the linea alba at
the umbilicus . There is no
bowel in the hernia. The
intraabdominal bowel is
not dilated. (Right)
Longitudinal ultrasound of a
large midline hernia
containing fat ſt. Due to its
size, the hernia was imaged
with a curvilinear transducer.
The defect in the abdominal
wall is still visualized .
Diagnoses: Abdominal Wall/Peritoneal Cavity
(Left) Longitudinal ultrasound
of a painful umbilical hernia
st containing fluid and soft
tissue in a patient with
cirrhosis and portal
hypertension. The defect in
the linea alba is small . No
peristalsis was seen. (Right)
Longitudinal color Doppler
ultrasound of the same
patient with portal
hypertension. Umbilical
hernias are a site of weakness
through which collateral veins
ſt may herniate. Although
tender, the veins were not
thrombosed.
(Left) Transverse focused
ultrasound shows a small
epigastric hernia ſt extending
though a defect st in the linea
alba. Rectus muscles are
shown. (Right) Axial CECT of
the same patient confirms the
small fat-containing epigastric
hernia ſt within the midline.
The defect in the linea alba is
not seen. Rectus muscles
are intact.
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