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. 615
Abdominal Wall Hernia Diagnoses: Abdominal Wall/Peritoneal Cavity (Left) Transverse ultrasound of the umbilical region shows a fat-containing symptomatic periumbilical hernia. Note the narrow neck . (Right) Transverse panoramic ultrasound shows a midline incisional hernia ſt containing bowel. The hernia developed after laparotomy complicated by wound infection. The rectus muscles are widely separated. (Left) Transverse ultrasound shows a wide neck to a midline hernia containing bowel ſt. This was an incisional hernia. The right rectus muscle is shown . (Right) Axial CECT of the same patient shows the broad incisional hernia containing undilated small bowel. The rectus muscles are atrophied . (Left) Axial CECT showing an incarcerated periumbilical hernia with dilated small bowel ſt proximal to the hernia and in the hernia st. The herniated bowel wall shows enhancement and there was no strangulation at surgery. (Right) Coronal CECT following aortic aneurysm surgery shows a very large incisional hernia ſt containing undilated small bowel. Sigmoid thickening from C. Difficile colitis is noted. 616
- Page 586 and 587: Perigraft Fluid Collections (Left)
- Page 588 and 589: Transplant Renal Artery Stenosis TE
- Page 590 and 591: Transplant Renal Artery Stenosis (L
- Page 592 and 593: Transplant Renal Artery Thrombosis
- Page 594 and 595: Transplant Renal Vein Thrombosis TE
- Page 596 and 597: Renal Transplant Arteriovenous (AV)
- Page 598 and 599: Renal Transplant Pseudoaneurysm TER
- Page 600 and 601: Renal Transplant Rejection IMAGING
- Page 602 and 603: Delayed Renal Graft Function TERMIN
- Page 604 and 605: PART II SECTION 7 Adrenal Gland Adr
- Page 606 and 607: Adrenal Hemorrhage TERMINOLOGY Abbr
- Page 608 and 609: Adrenal Hemorrhage (Left) Longitudi
- Page 610 and 611: Myelolipoma TERMINOLOGY Definitions
- Page 612 and 613: Myelolipoma (Left) Longitudinal US
- Page 614 and 615: Adrenal Adenoma TERMINOLOGY Synonym
- Page 616 and 617: Adrenal Adenoma (Left) Longitudinal
- Page 618 and 619: Adrenal Cyst TERMINOLOGY Definition
- Page 620 and 621: Pheochromocytoma TERMINOLOGY Defini
- Page 622 and 623: Pheochromocytoma (Left) Longitudina
- Page 624 and 625: Adrenal Carcinoma TERMINOLOGY Synon
- Page 626 and 627: Adrenal Carcinoma (Left) Transverse
- Page 628 and 629: PART II SECTION 8 Abdominal Wall/Pe
- Page 630 and 631: Approach to Sonography of Abdominal
- Page 632 and 633: Approach to Sonography of Abdominal
- Page 634 and 635: Abdominal Wall Hernia TERMINOLOGY D
- Page 638 and 639: Abdominal Wall Hernia (Left) Transv
- Page 640 and 641: Groin Hernia TERMINOLOGY Definition
- Page 642 and 643: Groin Hernia (Left) Graphic shows a
- Page 644 and 645: Groin Hernia (Left) Longitudinal ul
- Page 646 and 647: Ascites TERMINOLOGY Definitions •
- Page 648 and 649: Ascites (Left) Transverse ultrasoun
- Page 650 and 651: Peritoneal Carcinomatosis TERMINOLO
- Page 652 and 653: Peritoneal Carcinomatosis (Left) Lo
- Page 654 and 655: Peritoneal Carcinomatosis (Left) Tr
- Page 656 and 657: Peritoneal Space Abscess TERMINOLOG
- Page 658 and 659: Peritoneal Space Abscess (Left) Tra
- Page 660 and 661: Segmental Omental Infarction TERMIN
- Page 662 and 663: PART II SECTION 9 Bowel Approach to
- Page 664 and 665: Approach to Bowel Sonography Given
- Page 666 and 667: Approach to Bowel Sonography (Left)
- Page 668 and 669: Appendicitis TERMINOLOGY Definition
- Page 670 and 671: Appendicitis (Left) Axial ultrasoun
- Page 672 and 673: Appendicitis (Left) Axial ultrasoun
- Page 674 and 675: Appendiceal Mucocele TERMINOLOGY De
- Page 676 and 677: Appendiceal Mucocele (Left) Sagitta
- Page 678 and 679: Intussusception TERMINOLOGY Definit
- Page 680 and 681: Intussusception (Left) Transverse t
- Page 682 and 683: Epiploic Appendagitis TERMINOLOGY A
- Page 684 and 685: Epiploic Appendagitis (Left) Graysc
Abdominal Wall Hernia<br />
Diagnoses: Abdominal Wall/Peritoneal Cavity<br />
(Left) Transverse ultrasound of<br />
the umbilical region shows a<br />
fat-containing symptomatic<br />
periumbilical hernia. Note the<br />
narrow neck . (Right)<br />
Transverse panoramic<br />
ultrasound shows a midline<br />
incisional hernia ſt containing<br />
bowel. The hernia developed<br />
after laparotomy complicated<br />
by wound infection. The rectus<br />
muscles are widely<br />
separated.<br />
(Left) Transverse ultrasound<br />
shows a wide neck to a midline<br />
hernia containing bowel ſt.<br />
This was an incisional hernia.<br />
The right rectus muscle is<br />
shown . (Right) Axial CECT<br />
of the same patient shows the<br />
broad incisional hernia <br />
containing undilated small<br />
bowel. The rectus muscles are<br />
atrophied .<br />
(Left) Axial CECT showing an<br />
incarcerated periumbilical<br />
hernia with dilated small<br />
bowel ſt proximal to the<br />
hernia <strong>and</strong> in the hernia st.<br />
The herniated bowel wall<br />
shows enhancement <strong>and</strong> there<br />
was no strangulation at<br />
surgery. (Right) Coronal CECT<br />
following aortic aneurysm<br />
surgery shows a very large<br />
incisional hernia ſt containing<br />
undilated small bowel.<br />
Sigmoid thickening from C.<br />
Difficile colitis is noted.<br />
616