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C-0067 - Adhesive Internal Hernia: Multidetector CT Findings and Clinical Relevance

J. Ji1, C. Lu2, M. Xu1, Z. Wang1, Y. Gao1, Z. Zhao1, J. Song1; 1 Lishui/CN 2 LISHUI/CN Type: Educational Exhibit
Area of Interest: Gastrointestinal tract
Imaging Technique: CT
Procedure: Diagnostic procedure
Special Focus: Hernia
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Learning objectives: To review the clinical and multidetector computed tomography (MDCT) features of adhesive internal hernias (IHs). To ensure specific MDCT criteria to assist in diagnosis of adhesive IHs and early detection of intestinal strangulation.

Background: Internal hernia (IH) is a life-threatening cause of small bowel obstruction. It is defined by the protrusion of an abdominal organ through a normal or abnormal mesenteric or peritoneal aperture within the confines of the peritoneal cavity.It can be either caused by congenital peritoneal defects, or [...]

Findings and procedure details: All of the examinations were performed on a 64-MDCT scanner (Brilliance iCT; Philips Healthcare, Cleveland, OH, USA) at a single institution. An oral contrast agent was not administered. All patients underwent imaging of the abdomen and pelvis. The examinations began with a study of the abdomen befo[...]

Conclusion:   Adhesive IH represents an uncommon, important and under-diagnosed condition that has been increasing in frequency as a result of prior abdominal surgery. In addition to the common CT features, the characteristic CT features of adhesive IH include the presence of adhesive bands and the fat not[...]

Personal information: Jiansong Ji, Department of Radiology, The Fifth Affiliated Hospital of Wenzhou Medical College, Lishui Hospital of Zhejiang University, 289 Kuocang Road, Lishui, Zhejiang 32300, China; Email: jjstcty@sina.com Chenying Lu, Department of Radiology, The Fifth Affiliated Hospital of Wenzhou Medical Coll[...]

References: [1] Mathieu D, Luciani A.Internal abdominal herniations. AJR Am J Roentgenol. 2004; 183:397-404. [2] Ghiassi S, Nguyen SQ, Divino CM, Byrn JC, Schlager A. Internal hernias: clinical findings, management, and outcomes in 49 nonbariatric cases.J Gastrointest Surg,2007;11:291-5. [3] Murphy KP, O'Connor[...]

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